Occurrence of antibody to salivary duct epithelium in Sjogren's disease, rheumatoid arthritis, and other arthritides. A clinical and laboratory study.

Sj0gren's disease, first described in 1933 (Sj0gren, 1933), consists of chronic inflammation of the lacrimal and salivary glands leading to dryness of the eyes (keratoconjunctivitis sicca) and dryness of the mouth (xerostomia); in a proportion of patients lacrimal and salivary gland enlargement may also be present (Bloch, Buchanan, Wohl, and Bunim, 1965; Talal, 1966). In 50 to 60 per cent. of patients the disease may be associated with a connective tissue disorder, usually rheumatoid arthritis, but occasionally also with polymyositis, polyarteritis nodosa, progressive systemic sclerosis (scleroderma), and systemic lupus erythematosus. The term "sicca syndrome" or "sicca complex" is applied to those cases of Sj0gren's disease not associated with rheumatoid arthritis or other connective tissue disorders.

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