Review
Sjögren's syndrome and pancreatic affection
Afección pancreática en el síndrome de Sjögren
Gabriela Hernández-Molina
, Martha L. Michel-Peregrina
Corresponding author
Departamento de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
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Michel-Peregrina" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Gabriela" "apellidos" => "Hernández-Molina" "email" => array:1 [ 0 => "gabyhm@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Martha L." "apellidos" => "Michel-Peregrina" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Afección pancreática en el síndrome de Sjögren" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-20" "fechaAceptado" => "2010-07-20" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112682" "palabras" => array:1 [ 0 => "Sjögren's Syndrome Exocrine pancreass" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112683" "palabras" => array:1 [ 0 => "Síndrome de Sjögren Páncreas exocrino" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sjögren's syndrome (SS) is an autoimmune disorder affecting primarily the exocrine glands, leading to keratoconjunctivitis sicca (KCS) and xerostomia, but that can also include extraglandular features1. Due the anatomical, physiological and pathological similarity between the pancreas and the salivary glands, it has been described that the pancreas it is not exempt from the damage produced by this syndrome. Some authors have assessed pancreatic involvement of SS by analyzing the histopathological changes, evaluating the pancreatic endocrine and exocrine function (serum pancreatic enzymes, elastase, lipase or trypsin determinations, N-benzoyl-L-tyrosyl-para-aminobenzoic acid excretion test, etc), searching specific pancreatic antibodies (antiductal) or performing endoscopic retrograde colangiopancreatography or noninvasive imaging studies such as computed tomography or ultrasound. Herein we review the literature regarding the prevalence and type of pancreatic involvement in the SS and we discuss the differential diagnosis with multiorganic Lymphoproliferative Syndrome.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El síndrome de Sjögren (SS) es una enfermedad autoinmunitaria que afecta principalmente a las glándulas exocrinas, aunque puede ocasionar también manifestaciones extraglandulares. Dada la similitud anatómica, fisiológica y patológica del páncreas y las glándulas salivales, se ha descrito que el páncreas no está exento del daño producido por el síndrome de Sjögren. Por esta similitud, algunos autores han estudiado la influencia del SS en el páncreas analizando los cambios histopatológicos, evaluando la función pancreática endocrina y exocrina (medición de enzimas pancreáticas séricas, prueba de excreción de ácido N-benzoil-Ltirosil- para-aminobenzoico, medición de elastasa, lipasa o tripsina), por la detección de anticuerpos específicos para páncreas (Ac. anticonductos), o mediante la realización de colangiopancreatografía endoscópica retrógrada o estudios de imagen no invasivos (tomografía computarizada y ultrasonido). En el presente trabajo revisamos la literatura científica en relación con la prevalencia y el grado de afección pancreática en SS y discutimos sobre el diagnóstico diferencial con el síndrome linfoproliferativo multiorgánico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:38 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary Sjögren's Syndrome: current and emergent aetiopathogenic concepts" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Ramos-Casals" 1 => "J. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 13 | 22 |
| 2024 October | 44 | 76 | 120 |
| 2024 September | 40 | 64 | 104 |
| 2024 August | 61 | 79 | 140 |
| 2024 July | 24 | 62 | 86 |
| 2024 June | 30 | 87 | 117 |
| 2024 May | 27 | 83 | 110 |
| 2024 April | 29 | 74 | 103 |
| 2024 March | 30 | 64 | 94 |
| 2024 February | 23 | 77 | 100 |
| 2024 January | 28 | 60 | 88 |
| 2023 December | 13 | 70 | 83 |
| 2023 November | 15 | 45 | 60 |
| 2023 October | 26 | 78 | 104 |
| 2023 September | 21 | 83 | 104 |
| 2023 August | 15 | 62 | 77 |
| 2023 July | 28 | 62 | 90 |
| 2023 June | 14 | 66 | 80 |
| 2023 May | 18 | 64 | 82 |
| 2023 April | 12 | 60 | 72 |
| 2023 March | 21 | 88 | 109 |
| 2023 February | 15 | 88 | 103 |
| 2023 January | 19 | 57 | 76 |
| 2022 December | 20 | 76 | 96 |
| 2022 November | 23 | 75 | 98 |
| 2022 October | 21 | 81 | 102 |
| 2022 September | 19 | 92 | 111 |
| 2022 August | 24 | 93 | 117 |
| 2022 July | 20 | 87 | 107 |
| 2022 June | 23 | 77 | 100 |
| 2022 May | 31 | 70 | 101 |
| 2022 April | 28 | 100 | 128 |
| 2022 March | 31 | 94 | 125 |
| 2022 February | 28 | 78 | 106 |
| 2022 January | 20 | 65 | 85 |
| 2021 December | 33 | 64 | 97 |
| 2021 November | 30 | 73 | 103 |
| 2021 October | 35 | 68 | 103 |
| 2021 September | 34 | 69 | 103 |
| 2021 August | 27 | 53 | 80 |
| 2021 July | 19 | 34 | 53 |
| 2021 June | 26 | 48 | 74 |
| 2021 May | 31 | 48 | 79 |
| 2021 April | 52 | 128 | 180 |
| 2021 March | 34 | 43 | 77 |
| 2021 February | 36 | 36 | 72 |
| 2021 January | 21 | 21 | 42 |
| 2020 December | 24 | 37 | 61 |
| 2020 November | 25 | 27 | 52 |
| 2020 October | 16 | 15 | 31 |
| 2020 September | 23 | 20 | 43 |
| 2020 August | 28 | 28 | 56 |
| 2020 July | 18 | 17 | 35 |
| 2020 June | 18 | 28 | 46 |
| 2020 May | 24 | 15 | 39 |
| 2020 April | 14 | 16 | 30 |
| 2020 March | 14 | 11 | 25 |
| 2020 February | 2 | 0 | 2 |
| 2020 January | 10 | 0 | 10 |
| 2019 September | 6 | 0 | 6 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2019 January | 1 | 0 | 1 |
| 2018 May | 1 | 1 | 2 |
| 2018 April | 17 | 17 | 34 |
| 2018 March | 24 | 20 | 44 |
| 2018 February | 12 | 15 | 27 |
| 2018 January | 8 | 15 | 23 |
| 2017 December | 13 | 11 | 24 |
| 2017 November | 13 | 40 | 53 |
| 2017 October | 18 | 33 | 51 |
| 2017 September | 13 | 55 | 68 |
| 2017 August | 9 | 27 | 36 |
| 2017 July | 10 | 23 | 33 |
| 2017 June | 31 | 39 | 70 |
| 2017 May | 32 | 35 | 67 |
| 2017 April | 20 | 33 | 53 |
| 2017 March | 22 | 56 | 78 |
| 2017 February | 12 | 24 | 36 |
| 2017 January | 19 | 12 | 31 |
| 2016 December | 48 | 25 | 73 |
| 2016 November | 31 | 16 | 47 |
| 2016 October | 27 | 18 | 45 |
| 2016 September | 34 | 14 | 48 |
| 2016 August | 16 | 3 | 19 |
| 2016 July | 17 | 10 | 27 |
| 2016 June | 0 | 5 | 5 |
| 2016 May | 0 | 13 | 13 |
| 2016 April | 0 | 16 | 16 |
| 2016 March | 0 | 19 | 19 |
| 2016 February | 5 | 14 | 19 |
| 2015 December | 3 | 0 | 3 |
| 2015 November | 0 | 11 | 11 |
| 2015 September | 9 | 0 | 9 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 18 | 8 | 26 |
| 2015 June | 27 | 59 | 86 |
| 2015 May | 48 | 84 | 132 |
| 2015 April | 25 | 79 | 104 |
| 2015 March | 22 | 67 | 89 |
| 2015 February | 22 | 80 | 102 |
| 2015 January | 33 | 65 | 98 |
| 2014 December | 23 | 64 | 87 |
| 2014 November | 22 | 56 | 78 |
| 2014 October | 18 | 68 | 86 |
| 2014 September | 14 | 64 | 78 |
| 2014 August | 17 | 66 | 83 |
| 2014 July | 24 | 53 | 77 |
| 2014 June | 39 | 70 | 109 |
| 2014 May | 29 | 40 | 69 |
| 2014 April | 25 | 47 | 72 |
| 2014 March | 33 | 34 | 67 |
| 2014 February | 26 | 29 | 55 |
| 2014 January | 22 | 28 | 50 |
| 2013 December | 29 | 43 | 72 |
| 2013 November | 17 | 43 | 60 |
| 2013 October | 33 | 33 | 66 |
| 2013 September | 31 | 42 | 73 |
| 2013 August | 34 | 40 | 74 |
| 2013 July | 44 | 34 | 78 |
| 2013 June | 30 | 28 | 58 |
| 2013 May | 34 | 23 | 57 |
| 2013 April | 26 | 20 | 46 |
| 2013 March | 21 | 22 | 43 |
| 2013 February | 23 | 17 | 40 |
| 2013 January | 20 | 37 | 57 |
| 2012 December | 20 | 36 | 56 |
| 2012 November | 12 | 15 | 27 |
| 2012 October | 16 | 8 | 24 |
| 2012 September | 17 | 6 | 23 |
| 2012 July | 1 | 0 | 1 |
| 2012 June | 3 | 0 | 3 |
| 2012 May | 3 | 0 | 3 |
| 2012 April | 4 | 0 | 4 |
| 2012 March | 8 | 0 | 8 |
| 2012 February | 2 | 0 | 2 |
| 2012 January | 2 | 0 | 2 |
| 2011 December | 5 | 0 | 5 |
| 2011 November | 4 | 0 | 4 |
| 2011 October | 5 | 0 | 5 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 4 | 0 | 4 |
| 2011 July | 2 | 0 | 2 |
| 2011 June | 3 | 0 | 3 |
| 2011 May | 5 | 0 | 5 |
| 2011 April | 14 | 0 | 14 |
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