Table 1

Clinical, laboratory and histological features of the patients with SS that were retrospectively recorded and their definition

FeaturesDefined as/documented by
SS associated
 Clinical
  EULAR SS disease activity index (ESSDAI) 31
  Arthralgias, arthritis
  Raynaud’s phenomenon
  Salivary gland enlargement (SGE)
  Lung involvementPulmonary function tests and X-ray and/or CT scans
  Renal involvementPersistent proteinuria and verification by renal biopsy
  Liver involvementLiver biopsy indicative of primary biliary cirrhosis
  Palpable purpura
  Vasculitis
  Peripheral neuropathyNerve conduction studies
 Laboratory
  Anti-Ro/SSA and/or anti-La/SSB autoantibodies
  Rheumatoid factor
  Complement C3 and C4 levels
  HypocomplementaemiaC4 <16 mg/dL and C3 <75 mg/dL
  Cryoglobulinaemia
  HypergammaglobulinaemiaTotal gammaglobulins >2 g/L
  AnaemiaHaemoglobin <12 g/dL (females) and 13.5 g/dL (males)
  LeucopeniaWhite cell count <4000/mm3
  LymphopaeniaLymphocyte count <1000/mm3
  NeutropaeniaNeutrophil count <1500/mm3
 Histological
  Biopsy focus scoreNumber of lymphocytic foci/4 mm2
  Germinal centre formation
Lymphoma associated
 Non-Hodgkin’s lymphoma (NHL) subtype
 Eastern Cooperative Oncology Group performance status 32
 Ann Arbor stage (I–IV) 33
 Number and type of involved sites
 International Prognostic Index0–1 points: low risk, 2 points: low-intermediate risk, 3 points: high-intermediate risk, 4–5 points: high risk34
 Splenomegaly
 Lymphadenopathy
 Presence of B symptoms
 Serum lactate dehydrogenases
 β2-microglobulin levels
  • SS, Sjögren’s syndrome.