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Primary Sjögren's syndrome is associated with significant cognitive dysfunction

Identifieur interne : 000D93 ( Main/Exploration ); précédent : 000D92; suivant : 000D94

Primary Sjögren's syndrome is associated with significant cognitive dysfunction

Auteurs : Mehmet Engin Tezcan [Turquie] ; Emine Belgin Kocer [Turquie] ; Seminur Haznedaroglu [Turquie] ; Cemile Sonmez [Turquie] ; Ridvan Mercan [Turquie] ; Aysegul Atak Yucel [Turquie] ; Ceyla Irkec [Turquie] ; Berivan Bitik [Turquie] ; Berna Goker [Turquie]

Source :

RBID : ISTEX:23B44E0C41AF6F22E9E259113631964CC7C8C4A7

Abstract

Aim: Cognitive dysfunction is a neurologic manifestation in primary Sjögren syndrome (PSS). On the other hand, several antibodies are related to cognitive dysfunction. The aim of this study is to assess the cognitive dysfunction of PSS patients via detailed neurologic tests. Moreover, its associations with antibodies were also evaluated. Method: Twenty‐eight female patients with PSS and 17 healthy controls comprised the study groups. Short‐term memory, long‐term memory, verbal learning, visual memory, visual spatial perception, attention, verbal frequency function, executive functions and information processing speed were evaluated with neurologic tests in both of the study groups. Furthermore, anti‐N‐methyl‐D‐aspartate (NMDA) type anti‐glutamate‐receptor antibody, anti‐ribosomal‐p and antiganglioside antibodies were assessed in the study groups. Results: The attention, data processing speed, verbal learning, short‐term verbal memory and visuo‐spatial perception performances were lower in the patients with PSS when compared to the healthy controls. The difference reached statistical significance in Paced Auditory Serial Addition Test (P < 0.01), Serial Digit Learning Test (P < 0.01), clock drawing (P = 0.03), Auditory Verbal Learning Test immediate verbal memory (P = 0.01) and Benton Judgement of Line Orientation Test (P = 0.03). Even if antiganglioside antibodies were more likely to be present in the PSS group when compared to the healthy controls, no relationship was found between its positivity and cognitive dysfunction. Conclusion: Results of this study suggest that cognitive dysfunction is quite prevalent in PSS patients without being associated with studied antibodies.

Url:
DOI: 10.1111/1756-185X.12912


Affiliations:


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<div type="abstract">Aim: Cognitive dysfunction is a neurologic manifestation in primary Sjögren syndrome (PSS). On the other hand, several antibodies are related to cognitive dysfunction. The aim of this study is to assess the cognitive dysfunction of PSS patients via detailed neurologic tests. Moreover, its associations with antibodies were also evaluated. Method: Twenty‐eight female patients with PSS and 17 healthy controls comprised the study groups. Short‐term memory, long‐term memory, verbal learning, visual memory, visual spatial perception, attention, verbal frequency function, executive functions and information processing speed were evaluated with neurologic tests in both of the study groups. Furthermore, anti‐N‐methyl‐D‐aspartate (NMDA) type anti‐glutamate‐receptor antibody, anti‐ribosomal‐p and antiganglioside antibodies were assessed in the study groups. Results: The attention, data processing speed, verbal learning, short‐term verbal memory and visuo‐spatial perception performances were lower in the patients with PSS when compared to the healthy controls. The difference reached statistical significance in Paced Auditory Serial Addition Test (P < 0.01), Serial Digit Learning Test (P < 0.01), clock drawing (P = 0.03), Auditory Verbal Learning Test immediate verbal memory (P = 0.01) and Benton Judgement of Line Orientation Test (P = 0.03). Even if antiganglioside antibodies were more likely to be present in the PSS group when compared to the healthy controls, no relationship was found between its positivity and cognitive dysfunction. Conclusion: Results of this study suggest that cognitive dysfunction is quite prevalent in PSS patients without being associated with studied antibodies.</div>
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