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Unveiling a spondyloarthritis-like phenotype in Sjogren s disease : clinical, serological, and radiological correlates of sacroiliitis in a real-world cohort #MMPMID41108553
Bakay U; Gurer G; Kaban N; Soylu AC; Ok ZD; Bora P
Expert Rev Clin Immunol 2025[Oct]; ä (ä): ä PMID41108553show ga
BACKGROUND: Sjogren's Disease (SjD) primarily affects exocrine glands, but some patients develop axial manifestations. This study investigated the prevalence and predictors of sacroiliitis in primary SjD and proposed a clinical risk score. METHODS: In this multicenter cross-sectional study, 144 patients fulfilling 2016 ACR/EULAR criteria for SjD underwent clinical, laboratory, and imaging evaluation. Sacroiliitis was defined by radiographic and/or MRI criteria. Logistic regression identified predictors, and ROC analysis assessed diagnostic performance. RESULTS: Sacroiliitis was present in 16.7% of patients. Independent predictors were inflammatory back pain (OR 18.7, p < 0.001) and smoking (OR 9.8, p = 0.003). HLA-B27 showed borderline significance (p = 0.051). Anti-SSB was only borderline (p = 0.098) and was not retained in multivariate analysis. ROC analysis showed good performance for smoking (AUC 0.81), inflammatory back pain (AUC 0.79), and HLA-B27 (AUC 0.72). A composite Axial Involvement Risk Score (0-3) integrating these predictors achieved excellent accuracy (AUC 0.91); a cutoff >/=1 yielded 100% sensitivity and 63% specificity. CONCLUSION: Axial involvement in SjD may represent a distinct phenotype. The score may support early recognition of sacroiliitis and guide clinical decision-making.