Síndrome de Sjögren Secundária
revista de literatura e relato de caso clínico
Palavras-chave:
Síndrome de Sjögren, XerostomiaResumo
A Síndrome de Sjögren é uma desordem auto-imune, multi-sistêmica, inflamatória crônica que afeta glândulas exócrinas, principalmente as salivares e lacrimais, levando a um prejuizo funcional característico. Acomete prevalentemente indivíduos de meia idade, do sexo feminino e apresenta um amplo espectro de manifestações clínicas. Dentro da sintomatologia a xeroftalmia e xerostomia são as manifestações mais frequentes. Pode ser sub-dividida em primária na forma clássica ou secundária, quando associada a outras doenças auto-imunes de tecidos conjuntivos como a esclerodermia, artrite reumatóide ou lúpus eritematoso sistêmico. O presente trabalho objetiva revisar aa literatura e relatar o caso de uma paciente portadora da Síndrome de Sjögren secundária, com história clínica de oito anos, que procurou o serviço de Cirurgia e Traumatologia Buco-Maxilo-Facial para a avaliação e acompanhamento odontológico de sua condição.
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Referências
Negoro A, Umemoto M, Fujii M, Kakibuchi M, Terada T, Hashimoto N, et al. Taste function in Sjögren’s syndrome patients with special reference to clinical tests. Auris Nasus Larynx. 2004; 31:141-7.
Porter SR, Scully C, Hegarty MA. An update of the etiology and management of xerostomia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97:283-7.
Nikitakis NG, Rivera H, Lariccia C, Papadimitriou JC, Sauk J. Primary Sjögren syndrome in childhood: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96:42-7.
Radfar L, Shea Y, Fischer SH, Sankarr V, Leakan RA, Baum BJ, et al. Fungal load and candidiasis in Sjögren’s syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96:283-7.
Al-Hashimi I. Oral and periodontal status in Sjögren´s Syndrom. Tex Dent J. 2001; 118:932-9.
Al-Hashimi I. The management of Sjögren´s Syndrome in dental practice. J Am Dent Assoc. 2001; 132:1409-17.
Al-Hashimi I. Frequency and predictive value of the clinical manifestation in Sjögren´s Syndrome. J Oral Pathol. 2001; 30:1-6.
Christensen LB, Petersen PE, Thorn JJ, SChiodt M. Dental caries and dental behavior of patients with primary Sjögren syndrome. Acta Odontol Scand. 2001; 59:116-20.
Pedersen AM, Reibel J, Nordgarden H, Bergem, HO, Jensen JL, Nauntofte B. Primary Sjögren´s syndrome: salivary gland function and clinical oral findings. Oral Dis. 1999; 5:128-38.
Lamey PJ, Lundy FT, Al-Hashimi I. Sjögren’s syndrome: a condition with features of chronic graft-versus-host disease: does duct cell adhesion or permeability play a role in pathogenesis? Med Hypotheses. 2004; 62:825-9.
Miedany YME, Ahmed I, Mourad HG, Mehanna AN, Aty SA, Gamal HM, et al. Quantitative ultrasonography and magnetic resonance imaging of the parotid gland: can they replace the histopathologic studies in patients with Sjogren’s syndrome? Joint Bone Spine, 2004; 71:29-38.
Perrot S, Calvez V, Escande JP, Dupin N, Marcelin AG. Prevalences of herpesviruses DNA sequences in salivary gland biopsies from primary and secondary Sjogren’s syndrome using degenerated consensus PCR primers. J Clin Virol. 2003; 28:165-8.
Lundström IMC, Lindström FD. Iron and vitamin deficiencies, endocrine and immune status in patients with primary Sjögren syndrome. Oral Dis. 2001; 7:144-9.
Pedersen AM, Reibel J, Nauntofte B. Primary Sjögren´s syndrome (pSS): subjective symptoms and salivary findings. J Oral Pathol Med. 1999; 28:303-11.
Rhodus NL. An update on the management for the dental patient with Sjögren Syndrome and Xerosomia. Northwest Dent. 1999; 78:4.
Rhodus NL. Sjögren´s Syndrome. Quintessence Int. 1999; 30:10.
Mandel L, Dehlinger N. Primary Biliary Cirrhosis and Sjögren’s Syndrome: case report. J Oral Maxillofac Surg. 2003; 61:1358-61.
Folwaczny M, Sommer A, Sander CA, Kellner H. Parotid sarcoidosis mimicking Sjögren´s syndrome: report of a case. J Oral Maxillofac Surg. 2002; 60:117-20.
Hay KD, Morton RP, Wall CR. Quality of life and nutitional studies in Sjögren´s syndrome patients with xerostomia. N Z Dent J. 2001; 97:128-31.
Bhamra J, Wong J, Gohill J. Oral pilocarpine for the treatment of keratoconjunctivitis sicca with central corneal irregularity. J Cataract Refract Surg. 2003; 29:2236-8.
