Table 4.
Comparison of key characteristics of DILS (diffuse infiltrative lymphocytosis syndrome) and SS (Sjögren’s syndrome). Both are characterized by focal lymphocytic sialoadenitis [146].
Category | Diffuse Infiltrative Lymphocytosis Syndrome | Sjögren’s Syndrome |
---|---|---|
association | HIV/AIDS | Autoimmune diseases |
histology | glandular CD8+ T cell infiltration | primarily CD4+ T cell infiltration (staining not usually performed) |
clinical manifestations | parotiditis xerostomia xerotoconjunctivitis sicca hypergammaglobulinemia possible extraglandular organ involvement |
usually no parotiditis xerostomia keratoconjuncitivits sicca hypergammaglobulinemia possible extraglandular organ involvement |
laboratory tests supporting diagnosis | HIV seropositivity autoantibodies rarely present |
autoantibodies including ANA, SS-A (Ro), SS-B (La), RF |
HLA association | DR5 (DR11), DR6 (DR13) | B8, DR2, DR3, DR4, DQ2, A1 |
treatment | ART, corticosteroids, symptomatic treatment | symptomatic treatment |