Neuro-Sjögren: Peripheral Neuropathy With Limb Weakness in Sjögren's Syndrome Article Swipe
Tabea Seeliger
,
Nils Prenzler
,
Stefan Gingele
,
Benjamin Seeliger
,
Sonja Körner
,
Thea Thiele
,
Lena Bönig
,
Kurt‐Wolfram Sühs
,
Torsten Witte
,
Martin Stangel
,
Thomas Skripuletz
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.3389/fimmu.2019.01600
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.3389/fimmu.2019.01600
Objective: Sjögren's syndrome is a heterogeneous inflammatory disorder frequently involving peripheral nerves with a wide spectrum of sensory modalities and distribution patterns. The objective of this cross-sectional study was to determine characteristics of Sjögren's syndrome as a cause for severe neuropathy with limb weakness. Methods: One hundred and eighty four patients with polyneuropathy associated with limb weakness underwent routine diagnostics including investigations for Sjögren's syndrome. Forty-four patients with Sjögren's syndrome (ACR-EULAR classification criteria) and severe neuropathy were identified. Results: Sjögren's syndrome was found at a median age of 63 years and the gender distribution showed a balanced female-male ratio of 1:1. Anti-SSA(Ro) antibodies were detected in 48% while seronegative patients were diagnosed with Sjögren's syndrome based on sialadenitis on minor salivary gland biopsy with a focus score ≥1. The majority of patients (93%) were diagnosed with Sjögren's syndrome after neurological symptoms appeared. Limbs were symmetrically involved in 84% of patients (57% tetraparesis, 27% paraparesis). Sensory function was not affected in 11% of patients indicating that Sjögren's syndrome associated neuropathy can present as a pure motor syndrome. Electrophysiological measurements did not reveal pathognomonic findings (23% demyelinating pattern, 36% axonal pattern, 41% both demyelinating and axonal damage signs). More than half of our patients fulfilled the European Federation of Neurological Societies (EFNS) diagnostic criteria for CIDP indicating that distinction between Neuro-Sjögren and other causes of neuropathy such as CIDP is challenging. Interpretation: Our findings show that severe neuropathy with limb weakness is often associated with Sjögren's syndrome. This is of great importance in identifying and understanding the causes of immune mediated polyneuropathy.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fimmu.2019.01600
- OA Status
- gold
- Cited By
- 78
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2960265880
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2960265880Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3389/fimmu.2019.01600Digital Object Identifier
- Title
-
Neuro-Sjögren: Peripheral Neuropathy With Limb Weakness in Sjögren's SyndromeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-07-11Full publication date if available
- Authors
-
Tabea Seeliger, Nils Prenzler, Stefan Gingele, Benjamin Seeliger, Sonja Körner, Thea Thiele, Lena Bönig, Kurt‐Wolfram Sühs, Torsten Witte, Martin Stangel, Thomas SkripuletzList of authors in order
- Landing page
-
https://doi.org/10.3389/fimmu.2019.01600Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.3389/fimmu.2019.01600Direct OA link when available
- Concepts
-
Medicine, Pathognomonic, Chronic inflammatory demyelinating polyneuropathy, Peripheral neuropathy, Weakness, Polyneuropathy, Dermatology, Pathology, Disease, Surgery, Immunology, Diabetes mellitus, Antibody, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
78Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6, 2024: 11, 2023: 16, 2022: 18, 2021: 11Per-year citation counts (last 5 years)
- References (count)
-
37Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.four | 49 |
| abstract_inverted_index.half | 198 |
| abstract_inverted_index.limb | 42, 55, 237 |
| abstract_inverted_index.pure | 173 |
| abstract_inverted_index.show | 232 |
| abstract_inverted_index.such | 224 |
| abstract_inverted_index.than | 197 |
| abstract_inverted_index.that | 164, 215, 233 |
| abstract_inverted_index.this | 25 |
| abstract_inverted_index.were | 76, 103, 110, 133, 143 |
| abstract_inverted_index.wide | 14 |
| abstract_inverted_index.with | 12, 41, 51, 54, 67, 112, 123, 135, 236, 242 |
| abstract_inverted_index.(93%) | 132 |
| abstract_inverted_index.Limbs | 142 |
| abstract_inverted_index.after | 138 |
| abstract_inverted_index.based | 115 |
| abstract_inverted_index.cause | 37 |
| abstract_inverted_index.focus | 125 |
| abstract_inverted_index.found | 82 |
| abstract_inverted_index.gland | 121 |
| abstract_inverted_index.great | 248 |
| abstract_inverted_index.minor | 119 |
| abstract_inverted_index.motor | 174 |
| abstract_inverted_index.often | 240 |
| abstract_inverted_index.other | 220 |
| abstract_inverted_index.ratio | 98 |
| abstract_inverted_index.score | 126 |
| abstract_inverted_index.study | 27 |
| abstract_inverted_index.while | 107 |
| abstract_inverted_index.years | 89 |
| abstract_inverted_index.≥1. | 127 |
| abstract_inverted_index.(EFNS) | 209 |
| abstract_inverted_index.axonal | 187, 193 |
| abstract_inverted_index.biopsy | 122 |
| abstract_inverted_index.causes | 221, 255 |
| abstract_inverted_index.damage | 194 |
| abstract_inverted_index.eighty | 48 |
| abstract_inverted_index.gender | 92 |
| abstract_inverted_index.immune | 257 |
| abstract_inverted_index.median | 85 |
| abstract_inverted_index.nerves | 11 |
| abstract_inverted_index.reveal | 180 |
| abstract_inverted_index.severe | 39, 74, 234 |
| abstract_inverted_index.showed | 94 |
| abstract_inverted_index.Sensory | 154 |
| abstract_inverted_index.between | 217 |
| abstract_inverted_index.hundred | 46 |
| abstract_inverted_index.present | 170 |
| abstract_inverted_index.routine | 58 |
| abstract_inverted_index.sensory | 17 |
| abstract_inverted_index.signs). | 195 |
| abstract_inverted_index.European | 204 |
| abstract_inverted_index.affected | 158 |
| abstract_inverted_index.balanced | 96 |
| abstract_inverted_index.criteria | 211 |
| abstract_inverted_index.detected | 104 |
| abstract_inverted_index.disorder | 7 |
| abstract_inverted_index.findings | 182, 231 |
| abstract_inverted_index.function | 155 |
| abstract_inverted_index.involved | 145 |
| abstract_inverted_index.majority | 129 |
| abstract_inverted_index.mediated | 258 |
| abstract_inverted_index.patients | 50, 66, 109, 131, 149, 162, 201 |
| abstract_inverted_index.pattern, | 185, 188 |
| abstract_inverted_index.salivary | 120 |
| abstract_inverted_index.spectrum | 15 |
| abstract_inverted_index.symptoms | 140 |
| abstract_inverted_index.syndrome | 2, 34, 69, 80, 114, 137, 166 |
| abstract_inverted_index.weakness | 56, 238 |
| abstract_inverted_index.Societies | 208 |
| abstract_inverted_index.appeared. | 141 |
| abstract_inverted_index.criteria) | 72 |
| abstract_inverted_index.determine | 30 |
| abstract_inverted_index.diagnosed | 111, 134 |
| abstract_inverted_index.fulfilled | 202 |
| abstract_inverted_index.including | 60 |
| abstract_inverted_index.involving | 9 |
| abstract_inverted_index.objective | 23 |
| abstract_inverted_index.patterns. | 21 |
| abstract_inverted_index.syndrome. | 64, 175, 244 |
| abstract_inverted_index.underwent | 57 |
| abstract_inverted_index.weakness. | 43 |
| abstract_inverted_index.(ACR-EULAR | 70 |
| abstract_inverted_index.Federation | 205 |
| abstract_inverted_index.Forty-four | 65 |
| abstract_inverted_index.Sjögren's | 1, 33, 63, 68, 79, 113, 136, 165, 243 |
| abstract_inverted_index.antibodies | 102 |
| abstract_inverted_index.associated | 53, 167, 241 |
| abstract_inverted_index.diagnostic | 210 |
| abstract_inverted_index.frequently | 8 |
| abstract_inverted_index.importance | 249 |
| abstract_inverted_index.indicating | 163, 214 |
| abstract_inverted_index.modalities | 18 |
| abstract_inverted_index.neuropathy | 40, 75, 168, 223, 235 |
| abstract_inverted_index.peripheral | 10 |
| abstract_inverted_index.diagnostics | 59 |
| abstract_inverted_index.distinction | 216 |
| abstract_inverted_index.female-male | 97 |
| abstract_inverted_index.identified. | 77 |
| abstract_inverted_index.identifying | 251 |
| abstract_inverted_index.Anti-SSA(Ro) | 101 |
| abstract_inverted_index.Neurological | 207 |
| abstract_inverted_index.challenging. | 228 |
| abstract_inverted_index.distribution | 20, 93 |
| abstract_inverted_index.inflammatory | 6 |
| abstract_inverted_index.measurements | 177 |
| abstract_inverted_index.neurological | 139 |
| abstract_inverted_index.seronegative | 108 |
| abstract_inverted_index.sialadenitis | 117 |
| abstract_inverted_index.demyelinating | 184, 191 |
| abstract_inverted_index.heterogeneous | 5 |
| abstract_inverted_index.paraparesis). | 153 |
| abstract_inverted_index.pathognomonic | 181 |
| abstract_inverted_index.symmetrically | 144 |
| abstract_inverted_index.tetraparesis, | 151 |
| abstract_inverted_index.understanding | 253 |
| abstract_inverted_index.Neuro-Sjögren | 218 |
| abstract_inverted_index.classification | 71 |
| abstract_inverted_index.investigations | 61 |
| abstract_inverted_index.polyneuropathy | 52 |
| abstract_inverted_index.<b>Methods:</b> | 44 |
| abstract_inverted_index.<b>Results:</b> | 78 |
| abstract_inverted_index.characteristics | 31 |
| abstract_inverted_index.cross-sectional | 26 |
| abstract_inverted_index.polyneuropathy. | 259 |
| abstract_inverted_index.<b>Objective:</b> | 0 |
| abstract_inverted_index.Electrophysiological | 176 |
| abstract_inverted_index.<b>Interpretation:</b> | 229 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5001155888 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I34809795 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6600000262260437 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.96983636 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |