Clinical features |
Dry mouth. |
Dry eyes. |
Histopathology features |
Lymphocytic infiltration in the lacrimal and/or salivary glands. |
Destruction of the gland stroma and decreased acinar cell number. |
Persistent lesion. |
Serological features |
Hypergammaglobulinemia |
Anti-SSA |
Anti-SSB |
Anti-M3R (anti-muscarinic 3 receptor) |
RF (rheumatoid factor). |
Anti-CPP (anti-citrullinated cyclic peptide). |
ACA (anti-centromere antibody). |
AMA (anti-mitochondrial antibody. |
Extra-glandular features |
Multiple organs involvement including skin, respiratory system, liver, blood vessels etc. |
Genetic features |
Abnormal MHC I and II genes expression, especially HLA-DR and HLA-DQ. |
Non-MHC-related genes: INF signaling pathway; B-cell activation and autoantibody production. |