DIAGNOSIS OF THE SYNDROME OF SCHEGREN. REVIEW

• Main Author: D.V. Topchy
• Format: Article
• Language: English
• Published: Bogomolets National Medical University 2018-11-01
• Series: Медична наука України
• Subjects: sjogren's syndrome, sialose, sialogram, ultrasound, scintigraphy, magnetic resonance imaging, magnetic resonance sialography
• Online Access: https://msu-journal.com/index.php/journal/article/view/74

Relevance. Sjogren's syndrome is included in the group of diffuse connective tissue diseases and ranks third among them. Sjögren's syndrome remains unidentified in half the cases of the disease with clinical manifestations. Diagnosis of Sjogren's syndrome in some cases has serious difficulties, which is due to both large polymorphism of Sjogren's syndrome and insufficient awareness of practical doctors in the clinic and diagnosis of this disease. Objective is to generalize the literature data on the possibilities of using radiation methods for early diagnosis of Sjogren's syndrome. Materials and methods. The literature sources on the possibility of using sialography, ultrasound examination, scintigraphy, magnetic resonance tomography of the salivary glands in the diagnosis of Sjogren's syndrome are analyzed. Data on the use of radiation diagnostics methods for revealing the initial signs of the disease, for assessing prevalence, for studying the salivary gland vascularization, for differential diagnosis of Sjogren's syndrome with sialadenitis and sialozema are presented. Results. Most authors consider sialografy to be a highly informative technique, which helps to identify symptoms in Sjogren's syndrome. In the ultrasound study, the authors determine the bilateral increase in the size of the parotid salivary glands. The advantage of scintigraphy of salivary glands in comparison with other methods is that the functions of all four major salivary glands (parotid and submaxillary) can be simultaneously evaluated with the help of a single injection of the isotope 99-m Tc-pertechnetate. Conclusion. In the presence of technical equipment, a comprehensive examination using methods of radiation diagnosis in case of suspicion of Sjogren's syndrome can become an origin of early, accurate and practically meaningful information.