Differences of PBDC and tissue-infiltrated DC counts by duration time of the clinical

course in patients with Sicca syndrome were calculated Selleck Kinase Inhibitor Library by Pearson’s correlation coefficient. These tests were used for statistical analysis using a Statview statistical program (Abacus Concepts, Berkeley, CA, USA). Differences were considered significant when P-values were less than 0·05. The clinical characteristics of the patients are shown in Tables 1 and 2. All but seven patients with secondary SS (three overlapping with SLE and four overlapping with RA) and none of the normal volunteers received medication of corticosteroids and immunosuppressants during the study (Table 2). The clinical characteristics of secondary SS and primary SS patients are shown in Table 1. Five of the 24 secondary SS patients had an overlapping

SLE. The SLE disease activity index (SLEDAI) [19] in these patients was 6, 12, 13, 22 and 26, respectively, at the time of the examination. In two patients, the symptoms of SLE and those of SS developed almost simultaneously. In the remaining three patients, SLE symptoms preceded those of SS. These three patients were receiving 5 mg/day Atezolizumab of prednisolone at the time of the examination. Barnett classification is an evaluation system for the severity of SSc determined by the extent of skin sclerotization caused by this disease. When skin sclerotization is localized only at the fingers and hands, the case is classified as class I (B-I). Conversely, when skin sclerotization is extended to the face or further to the trunk the classification of B-II or B-III is made, respectively. According to the Barnett classification, the eight secondary SS patients

who had an overlapping SSc were classified into four B-I, three B-II and one B-III. The onset profile of the symptoms was variable among patients with SSc-merged secondary SS. The symptoms of SSc and those of SS almost appeared simultaneously in three patients. In two patients the symptoms of SSc preceded those of SS, while in the remaining three patients Sicca syndrome appeared first and skin sclerotization developed several years later. Eleven 3-mercaptopyruvate sulfurtransferase secondary SS patients had an overlapping RA. Two of the 11 patients were diagnosed as having RA-merged secondary SS at the initial presentation. On the other hand, five of the 11 patients were diagnosed originally as primary SS and subsequently as RA-merged secondary SS when the RA symptoms developed later. By contrast, in the remaining four patients, Sicca syndrome appeared after the diagnosis of RA was established. Disease modified anti-rheumatic drugs (methotrexate 6 mg/week, 8 mg/week, bucillamine 50 mg/day and salazosulphapyridine 1000 mg/day, respectively) had been administered to four patients whose RA preceded SS. SLE patients showed low white blood cell (WBC) numbers (normal control: mean 4822/µl, range 3800–10 200; SLE: mean 3864, range 1900–8400) (Table 1).