Features of Sjögren's syndrome in patients with primary biliary cirrhosis
Version of Record online: 4 AUG 2009
1991 Blackwell Publishing Ltd
Journal of Internal Medicine
Volume 230, Issue 5, pages 443–448, November 1991
How to Cite
UDDENFELDT, P., DANIELSSON, Å., FORSSELL, Å., HOLM, M. and ÖSTBERG, Y. (1991), Features of Sjögren's syndrome in patients with primary biliary cirrhosis. Journal of Internal Medicine, 230: 443–448. doi: 10.1111/j.1365-2796.1991.tb00470.x
- Issue online: 4 AUG 2009
- Version of Record online: 4 AUG 2009
- Received 8 January 1991, accepted 7 May 1991.
- primary biliary cirrhosis;
- Sjögren's syndrome
Abstract. Twenty-six consecutive patients with primary biliary cirrhosis (PBC) from northern Sweden were studied regarding the occurrence and features of Sjögren's syndrome (SS). In more than 50% of the patients the rose bengal dye test showed conjunctival and/or corneal staining. In six patients keratoconjunctivitis sicca (KCS) was present with positive rose bengal and Schirmer tests. In a further three patients only the results of the Schirmer tests were abnormal. Radiological findings of sialectasia were demonstrated in six patients, five of whom had KCS. Two of the seven patients who fulfilled our criteria for Sjögren's syndrome were HLA-B8 positive. A high prevalence of increased immune globulins and rheumatic factor was found, but this did not correlate with the presence of Sjögren's syndrome. Some features of Sjögren's syndrome were found in 73% of PBC patients, and keratoconjunctivitis sicca and/or sialectasia were found in 27% of PBC patients. This constitutes a high frequency of secondary manifestations of the liver disease.