Cornec et al reported a score for the diagnosis of primary Sjogren's Syndrome that incorporates salivary gland ultrasonography. The authors are from Brest University.
Parameters:
(1) unstimulated slaiva flow in mL per minute
(2) Schirmer's test at 5 minutes
(3) labial salivary gland score (Chisolm and Mason)
(4) anti-SSA and/or anti-SSB
(5) salivary gland ultrasonography (US) grade
|
Parameter |
Finding |
Points |
|
unstimulated saliva flow |
> 0.1 mL per minute |
0 |
|
|
<= 0.1 mL per minute |
1.5 |
|
Schirmer's test at 5 minutes |
> 5 mm |
0 |
|
|
<= 5 mm |
1.5 |
|
labial salivary gland score |
<= 2 |
0 |
|
|
3 or 4 |
3 |
|
anti-SSA and/or anti-SSB |
neither present |
0 |
|
|
one or both present |
4.5 |
|
salivary gland US grade |
0 or 1 |
0 |
|
|
2, 3 or 4 |
2 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maxium score: 12.5
• The higher the score the greater the likelihood of Sjogren's syndrome.
• A score >= 5 was 86% sensitive and 95% specific for Sjogren's syndrome.
Purpose: To evaluate a patient for Sjogren's syndrome using the revised classification score of Cornec et al.
Specialty: Immunology/Rheumatology
Objective: imaging studies, criteria for diagnosis
ICD-10: M35.0, H19.3,
