Involvement of the peripheral nervous system in primary Sjögren's syndrome
BACKGROUND Involvement of the peripheral nervous system in patients with primary Sjögren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system...
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| Veröffentlicht in: | Annals of the rheumatic diseases 2001-09, Vol.60 (9), p.876-881 |
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| container_title | Annals of the rheumatic diseases |
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| creator | Barendregt, P J van den Bent, M J van Raaij-van den Aarssen, V J M van den Meiracker, A H Vecht, Ch J van der Heijde, G L Markusse, H M |
| description | BACKGROUND Involvement of the peripheral nervous system in patients with primary Sjögren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS 39 (38 female) consecutive patients with primary SS, aged 20–81 years (mean 50), with a disease duration of 1–30 years (mean 8) were studied. The peripheral nervous system was evaluated by a questionnaire, physical examination, quantified sensory neurological examination, and neurophysiological measurements (nerve conduction studies). To assess autonomic cardiovascular function an orthostatic challenge test, a Valsalva manoeuvre, a forced respiration test, and pupillography were done. RESULTS Abnormalities as indicated in the questionnaire were found in 8/39 (21%) patients, while an abnormal neurological examination was found in 7/39 (18%) patients. Abnormalities in quantified sensory neurological examination were found in 22/38 (58%) patients. In 9/39 (23%) patients, neurophysiological signs compatible with a sensory polyneuropathy were found. No differences were found in the autonomic test results, disease duration, serological parameters, or erythrocyte sedimentation rate between the patients with primary SS with and those without evidence of peripheral nervous involvement. CONCLUSION Subclinical abnormalities of the peripheral nervous system may occur in patients with primary SS selected from a department of rheumatology, but clinically relevant involvement of the peripheral nervous system in this patient group is rare. |
| doi_str_mv | 10.1016/S0003-4967(24)43388-8 |
| format | Article |
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OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS 39 (38 female) consecutive patients with primary SS, aged 20–81 years (mean 50), with a disease duration of 1–30 years (mean 8) were studied. The peripheral nervous system was evaluated by a questionnaire, physical examination, quantified sensory neurological examination, and neurophysiological measurements (nerve conduction studies). To assess autonomic cardiovascular function an orthostatic challenge test, a Valsalva manoeuvre, a forced respiration test, and pupillography were done. RESULTS Abnormalities as indicated in the questionnaire were found in 8/39 (21%) patients, while an abnormal neurological examination was found in 7/39 (18%) patients. Abnormalities in quantified sensory neurological examination were found in 22/38 (58%) patients. In 9/39 (23%) patients, neurophysiological signs compatible with a sensory polyneuropathy were found. No differences were found in the autonomic test results, disease duration, serological parameters, or erythrocyte sedimentation rate between the patients with primary SS with and those without evidence of peripheral nervous involvement. CONCLUSION Subclinical abnormalities of the peripheral nervous system may occur in patients with primary SS selected from a department of rheumatology, but clinically relevant involvement of the peripheral nervous system in this patient group is rare.</description><identifier>ISSN: 0003-4967</identifier><identifier>EISSN: 1468-2060</identifier><identifier>DOI: 10.1016/S0003-4967(24)43388-8</identifier><identifier>PMID: 11502615</identifier><identifier>CODEN: ARDIAO</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><subject>Abnormalities ; Adult ; Aged ; Aged, 80 and over ; Antibodies ; Autoimmune diseases ; Biological and medical sciences ; Biopsy ; Chemotherapy ; Diabetes ; Disease ; Exocrine glands ; Extended Report ; Female ; Health aspects ; Humans ; Hypotension, Orthostatic - diagnosis ; Hypotension, Orthostatic - etiology ; Male ; Medical sciences ; Middle Aged ; Nerves, Peripheral ; Nervous system ; Neural Conduction - physiology ; Patients ; peripheral nervous system ; Peripheral Nervous System Diseases - diagnosis ; Peripheral Nervous System Diseases - etiology ; Pupil Disorders - diagnosis ; Pupil Disorders - etiology ; Questionnaires ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Sensation Disorders - diagnosis ; Sensation Disorders - etiology ; Serology ; Sjogren's syndrome ; Sjogren's Syndrome - complications ; Sjögren's syndrome ; Statistics, Nonparametric ; Thermosensing - physiology ; Valsalva Maneuver ; Vibration</subject><ispartof>Annals of the rheumatic diseases, 2001-09, Vol.60 (9), p.876-881</ispartof><rights>Annals of the Rheumatic Diseases</rights><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2001 Annals of the Rheumatic Diseases</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b560t-3309a1547416d4b153151a6868640dbdb9c3f26a6f36deae0ce1522983813bea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1753829/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1753829/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14064936$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11502615$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barendregt, P J</creatorcontrib><creatorcontrib>van den Bent, M J</creatorcontrib><creatorcontrib>van Raaij-van den Aarssen, V J M</creatorcontrib><creatorcontrib>van den Meiracker, A H</creatorcontrib><creatorcontrib>Vecht, Ch J</creatorcontrib><creatorcontrib>van der Heijde, G L</creatorcontrib><creatorcontrib>Markusse, H M</creatorcontrib><title>Involvement of the peripheral nervous system in primary Sjögren's syndrome</title><title>Annals of the rheumatic diseases</title><addtitle>Ann Rheum Dis</addtitle><description>BACKGROUND Involvement of the peripheral nervous system in patients with primary Sjögren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS 39 (38 female) consecutive patients with primary SS, aged 20–81 years (mean 50), with a disease duration of 1–30 years (mean 8) were studied. The peripheral nervous system was evaluated by a questionnaire, physical examination, quantified sensory neurological examination, and neurophysiological measurements (nerve conduction studies). To assess autonomic cardiovascular function an orthostatic challenge test, a Valsalva manoeuvre, a forced respiration test, and pupillography were done. RESULTS Abnormalities as indicated in the questionnaire were found in 8/39 (21%) patients, while an abnormal neurological examination was found in 7/39 (18%) patients. Abnormalities in quantified sensory neurological examination were found in 22/38 (58%) patients. In 9/39 (23%) patients, neurophysiological signs compatible with a sensory polyneuropathy were found. No differences were found in the autonomic test results, disease duration, serological parameters, or erythrocyte sedimentation rate between the patients with primary SS with and those without evidence of peripheral nervous involvement. CONCLUSION Subclinical abnormalities of the peripheral nervous system may occur in patients with primary SS selected from a department of rheumatology, but clinically relevant involvement of the peripheral nervous system in this patient group is rare.</description><subject>Abnormalities</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibodies</subject><subject>Autoimmune diseases</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Chemotherapy</subject><subject>Diabetes</subject><subject>Disease</subject><subject>Exocrine glands</subject><subject>Extended Report</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hypotension, Orthostatic - diagnosis</subject><subject>Hypotension, Orthostatic - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerves, Peripheral</subject><subject>Nervous system</subject><subject>Neural Conduction - physiology</subject><subject>Patients</subject><subject>peripheral nervous system</subject><subject>Peripheral Nervous System Diseases - diagnosis</subject><subject>Peripheral Nervous System Diseases - etiology</subject><subject>Pupil Disorders - diagnosis</subject><subject>Pupil Disorders - etiology</subject><subject>Questionnaires</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Sensation Disorders - diagnosis</subject><subject>Sensation Disorders - etiology</subject><subject>Serology</subject><subject>Sjogren's syndrome</subject><subject>Sjogren's Syndrome - complications</subject><subject>Sjögren's syndrome</subject><subject>Statistics, Nonparametric</subject><subject>Thermosensing - physiology</subject><subject>Valsalva Maneuver</subject><subject>Vibration</subject><issn>0003-4967</issn><issn>1468-2060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptktuO0zAQhiMEYsvCI4AiECeJgB0f4lyAtKo4rHa1XHRZcTdykkmbktjFTir2xXgBXgxnW7ULqizLsueb3-PxH0WPKXlLCZXvZoQQlvBcZq9S_pozplSi7kQTyqVKUiLJ3WiyQ46iB94vw5Yoqu5HR5QKkkoqJtHZqVnbdo0dmj62ddwvMF6ha1YLdLqNDbq1HXzsr32PXdyYeOWaTrvreLb883vu0Lwcg6ZytsOH0b1atx4fbdfj6Nunj5fTL8n518-n05PzpBCS9AljJNdU8IxTWfGCCkYF1VKFwUlVVEVesjqVWtZMVqiRlEhFmuaKKcoK1Ow4-rDRXQ1Fh1UZSg-1wrYysLqBfyOmWcDcroFmgqk0DwIvtgLO_hzQ99A1vsS21QbDayGjY5-UCuCz_8ClHZwJjwtaWaY4F5wE6umGmusWoTG1DbeWoyScZCoVIk9HqTcHoDmasc_WYN2E49t4cgAPo8KuKQ_xYsOXznrvsN61gxIYDQM3hoHRDZByuDEMjHlPbvdyn7V1SACebwHtS93WTpuy8XuOE8lzJvcFN8Epv3Zx7X6AzFgm4OJqCuLq4jLNzr7DLPDvN3zRLXf0ou9XIaWC8bC0XZimD58IkkAOKpNQD2346apmfwERCe5N</recordid><startdate>20010901</startdate><enddate>20010901</enddate><creator>Barendregt, P J</creator><creator>van den Bent, M J</creator><creator>van Raaij-van den Aarssen, V J M</creator><creator>van den Meiracker, A H</creator><creator>Vecht, Ch J</creator><creator>van der Heijde, G L</creator><creator>Markusse, H M</creator><general>BMJ Publishing Group Ltd and European League Against Rheumatism</general><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>Elsevier Limited</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20010901</creationdate><title>Involvement of the peripheral nervous system in primary Sjögren's syndrome</title><author>Barendregt, P J ; van den Bent, M J ; van Raaij-van den Aarssen, V J M ; van den Meiracker, A H ; Vecht, Ch J ; van der Heijde, G L ; Markusse, H M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b560t-3309a1547416d4b153151a6868640dbdb9c3f26a6f36deae0ce1522983813bea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Abnormalities</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibodies</topic><topic>Autoimmune diseases</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Chemotherapy</topic><topic>Diabetes</topic><topic>Disease</topic><topic>Exocrine glands</topic><topic>Extended Report</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Hypotension, Orthostatic - diagnosis</topic><topic>Hypotension, Orthostatic - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerves, Peripheral</topic><topic>Nervous system</topic><topic>Neural Conduction - physiology</topic><topic>Patients</topic><topic>peripheral nervous system</topic><topic>Peripheral Nervous System Diseases - diagnosis</topic><topic>Peripheral Nervous System Diseases - etiology</topic><topic>Pupil Disorders - diagnosis</topic><topic>Pupil Disorders - etiology</topic><topic>Questionnaires</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Sensation Disorders - diagnosis</topic><topic>Sensation Disorders - etiology</topic><topic>Serology</topic><topic>Sjogren's syndrome</topic><topic>Sjogren's Syndrome - complications</topic><topic>Sjögren's syndrome</topic><topic>Statistics, Nonparametric</topic><topic>Thermosensing - physiology</topic><topic>Valsalva Maneuver</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barendregt, P J</creatorcontrib><creatorcontrib>van den Bent, M J</creatorcontrib><creatorcontrib>van Raaij-van den Aarssen, V J M</creatorcontrib><creatorcontrib>van den Meiracker, A H</creatorcontrib><creatorcontrib>Vecht, Ch J</creatorcontrib><creatorcontrib>van der Heijde, G L</creatorcontrib><creatorcontrib>Markusse, H M</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barendregt, P J</au><au>van den Bent, M J</au><au>van Raaij-van den Aarssen, V J M</au><au>van den Meiracker, A H</au><au>Vecht, Ch J</au><au>van der Heijde, G L</au><au>Markusse, H M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Involvement of the peripheral nervous system in primary Sjögren's syndrome</atitle><jtitle>Annals of the rheumatic diseases</jtitle><addtitle>Ann Rheum Dis</addtitle><date>2001-09-01</date><risdate>2001</risdate><volume>60</volume><issue>9</issue><spage>876</spage><epage>881</epage><pages>876-881</pages><issn>0003-4967</issn><eissn>1468-2060</eissn><coden>ARDIAO</coden><abstract>BACKGROUND Involvement of the peripheral nervous system in patients with primary Sjögren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS 39 (38 female) consecutive patients with primary SS, aged 20–81 years (mean 50), with a disease duration of 1–30 years (mean 8) were studied. The peripheral nervous system was evaluated by a questionnaire, physical examination, quantified sensory neurological examination, and neurophysiological measurements (nerve conduction studies). To assess autonomic cardiovascular function an orthostatic challenge test, a Valsalva manoeuvre, a forced respiration test, and pupillography were done. RESULTS Abnormalities as indicated in the questionnaire were found in 8/39 (21%) patients, while an abnormal neurological examination was found in 7/39 (18%) patients. Abnormalities in quantified sensory neurological examination were found in 22/38 (58%) patients. In 9/39 (23%) patients, neurophysiological signs compatible with a sensory polyneuropathy were found. No differences were found in the autonomic test results, disease duration, serological parameters, or erythrocyte sedimentation rate between the patients with primary SS with and those without evidence of peripheral nervous involvement. CONCLUSION Subclinical abnormalities of the peripheral nervous system may occur in patients with primary SS selected from a department of rheumatology, but clinically relevant involvement of the peripheral nervous system in this patient group is rare.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and European League Against Rheumatism</pub><pmid>11502615</pmid><doi>10.1016/S0003-4967(24)43388-8</doi><tpages>6</tpages></addata></record> |
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| ispartof | Annals of the rheumatic diseases, 2001-09, Vol.60 (9), p.876-881 |
| issn | 0003-4967 1468-2060 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Abnormalities Adult Aged Aged, 80 and over Antibodies Autoimmune diseases Biological and medical sciences Biopsy Chemotherapy Diabetes Disease Exocrine glands Extended Report Female Health aspects Humans Hypotension, Orthostatic - diagnosis Hypotension, Orthostatic - etiology Male Medical sciences Middle Aged Nerves, Peripheral Nervous system Neural Conduction - physiology Patients peripheral nervous system Peripheral Nervous System Diseases - diagnosis Peripheral Nervous System Diseases - etiology Pupil Disorders - diagnosis Pupil Disorders - etiology Questionnaires Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Sensation Disorders - diagnosis Sensation Disorders - etiology Serology Sjogren's syndrome Sjogren's Syndrome - complications Sjögren's syndrome Statistics, Nonparametric Thermosensing - physiology Valsalva Maneuver Vibration |
| title | Involvement of the peripheral nervous system in primary Sjögren's syndrome |
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