TABLE 1

Thoracic manifestations of Sjögren's syndrome

Thoracic manifestationsPrevalencePeculiar aspects in Sjögren's syndromeTreatment
Airway disease
 Cough41–61%#Secretagogues (pilocarpine)
Nebulised saline solution
 BHR42–60%#Inhaled corticosteroids
 Bronchiolitis12–24%#Mainly follicular bronchiolitisSteroids
Rituximab
Macrolides
 Bronchiectasis7–54%#Mainly cylindrical bronchiectasis
 Pulmonary infections10–35%#
Interstitial lung disease
 Nonspecific interstitial
  pneumonia
45%Steroids
Hydroxychloroquine
Azathioprine
Cyclophosphamide
Rituximab
 Usual interstitial pneumonia16%No benefit of immunosuppressive drugs
 Lymphocytic interstitial
  pneumonitis
15%Steroids
Azathioprine
Cyclophosphamide
Chlorambucil
Rituximab
 Organising pneumonitis11%#Steroids
Azathioprine
Cyclosporine
Infliximab
Rituximab
Tocilizumab
Others pulmonary manifestations  in Sjögren's syndrome
 Pulmonary amyloidosisRare96.5% femaleSteroids
 Pulmonary lymphoma2%Specific haematological treatment
 Pulmonary embolism and
  pulmonary hypertension
RareRisk of venous thrombosis or pulmonary embolism in Sjögren's syndrome patients is greater than in the general population
  • BHR: bronchial hyperresponsiveness. #: in Sjögren's syndrome patients; : of interstitial lung disease in Sjögren's syndrome.