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Association of severe inflammatory polyarthritis in primary Sjogren's syndrome: Clinical, serologic, and HLA analysis
Journal of Rheumatology, 09/10/09
Mohammed K et al. – Severe arthritis with features resembling rheumatoid arthritis including erosive disease can occur in primary SS, particularly among those with anti-citrulline antibodies and the SE.
Methods- Case-control study comparing 35 patients with primary SS
- 17 patients with inflammatory arthritis
- 18 patients without arthritis
- All patients had anti-Ro/SSA autoantibodies
- Most had anti-La/SSB autoantibodies
- High percentage had anti-citrullinated peptide antibodies absent in those without inflammatory arthritis
- Most with anti-citrulline antibodies expressed MHC class II molecules with the shared epitope (SE).
- Presence of DRB1*0301 linked to the expression of anti-Ro/SSA autoantibodies did not influence level or frequency of anti-citrulline antibodies
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