[Coexistence of sarcoidosis and primary Sjögren syndrome: a clinical analysis and literature review]

Zhonghua Nei Ke Za Zhi. 2017 May 1;56(5):375-377. doi: 10.3760/cma.j.issn.0578-1426.2017.05.014.
[Article in Chinese]


Four patients with coexistence of sarcoidosis and primary Sjögren syndrome (pSS) were retrospectively analyzed.All patients were female, who were referred to our department mainly because of respiratory symptoms.Positive antinuclear antibody(ANA) was detected in 2 patients and anti-Sjögrens syndrome A (SSA) antibody positive in 1 patient.All patients presented specific histologic patterns of both sarcoidosis and pSS.Publications related to coexistence of these two diseases were reviewed.Forty-one patients were finally included in the analysis, among whom 37 confirmed patients were from literature search.There were 37 women and 4 men.The main clinical features presentation were xerophthalmia in 40, xerostomia in 38, hilaradenopathies in 28, interstitial lung disease in 15, respiratory symptoms in 13.The main immunologic data were positive ANA in 23, SSA antibody in 19, anti-Sjögrens syndrome B antibody in 10 and rheumatoid factor in 12.All patients presented specific histologic patterns of both diseases.Patients with both sarcoidosis and pSS of ten represent multisystemic involvement and positive immunologic parameters, as well as the dual expression of specific histologic characteristics.


Keywords: Diagnosis; Sarcoidosis; Sjögrens syndrome.

MeSH terms

  • Antibodies, Antinuclear / analysis
  • Antibodies, Antinuclear / blood*
  • Female
  • Humans
  • Lung Diseases, Interstitial
  • Male
  • Middle Aged
  • Retrospective Studies
  • Sarcoidosis / blood
  • Sarcoidosis / diagnosis*
  • Sarcoidosis / immunology
  • Sjogren's Syndrome / blood
  • Sjogren's Syndrome / diagnosis*
  • Sjogren's Syndrome / immunology


  • Antibodies, Antinuclear
  • SS-A antibodies
  • SS-B antibodies