Sjogren's Syndrome, Tomography Optical Coherence
Conditions
Keywords
Minor Salivary gland biopsy, Tomography, Optical Coherence
Brief summary
Primary Sjögren syndrome (pSS) is a systemic autoimmune disease that mainly affects the exocrine glands leading to severe dryness of mucosal surfaces, principally in the mouth and eyes. The other clinical manifestations are fatigue and musculoskeletal pain. Diagnosis of pSS associates clinical abnormalities with specific antibodies (Ro/SSA and La/SSB antibodies) or histopathological criteria of a minor salivary gland biopsy (the presence and number of lymphocytic focus, as well as chronicity findings like acinar atrophy, ductal dilatation or fibrosis). Apart from its variable sensitivity, one of the weaknesses of minor salivary gland biopsy is the delay in obtaining the result due to the time required to prepare the sample for histological analysis. Our group recently demonstrated the use of full-field optical coherence tomography (FF-OCT) to visualize structural changes associated with the inflammatory processes in Giant Cell Arteritis (temporal artery biopsy examination). It may suggests a further use of dynamic FF-OCT of minor salivary gland biopsy to visualize structural changes associated with the lymhocytic focus to ensure rapid on-site diagnosis of pSS.
Detailed description
This study does not require additional examination, and will use the data performed from the minor salivary gland biopsy carried out as part of usual care, in comparison with the results of the conventional histopathological examination.
Interventions
None listed
Sponsors
Centre Hospitalier William Morey - Chalon sur Saône
Centre Hospitalier Universitaire Dijon
Centre Hospitalier de Mâcon
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Patient \> 18 years of age with suspected Sjogren Syndrome received minor gland salivary biopsy
Exclusion criteria
* Inability to perform dynamic full-field optical coherence tomography observation at the moment of temporal artery biopsy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Histopathological analysis of healthy minor salivary gland biopsy with dynamic full-field optical coherence tomography | Outcome measure is assessed 15 days following minor salivary gland biopsy | Provide a better understanding of the ability of dynamic full-field optical coherence tomography to identify the normal structures of a minor salivary gland biopsy, i.e . salivary parenchyma with secretory units arranged into acini (group of acinar cells organized around a narrow lumen) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Histopathological analysis of Sjogren's syndrom minor salivary gland biopsy with dynamic full-field optical coherence tomography | Outcome measure is assessed 15 days following minor salivary gland biopsy | Provide a better understanding of the ability of dynamic full-field optical coherence tomography to identify histopathological features of Sjogren syndrom, i.e. lymphocytic foci, particularly located in the periductal area (according to the classification defined by Chisholm and Mason), acinar atrophy, ductal dilatation, and fibrosis |
Countries
France
Contacts
Primary ContactThibault MAILLET
Backup ContactThomas MALDINEY
Outcome results
None listed