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Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome

Research Project

Project/Area Number 09671927
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 病態科学系歯学(含放射線系歯学)
Research InstitutionNagasaki University

Principal Investigator

IZUMI Masahiro  Nagasaki University, School of Dentistry, Assist.Prof., 歯学部附属病院, 講師 (40212956)

Co-Investigator(Kenkyū-buntansha) NAKAMURA Takashi  Nagasaki University, School of Dentistry, Prof., 歯学部, 教授 (30172406)
SUMI Misa  Nagasaki University, School of Dentistry, Instructor, 歯学部, 助手 (90284702)
SUMI Tadateru  Nagasaki University, School of Dentistry, Instructor, 歯学部, 助手 (80284701)
YONETSU Koichi  Nagasaki University, School of Dentistry, Assoc.Prof., 歯学部, 助教授 (70167039)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 1998: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1997: ¥2,300,000 (Direct Cost: ¥2,300,000)
KeywordsSjogren's syndrome / MRI / fat deposition / xerostomia / corticosteroids / treatment / シェ-グレン症候群
Research Abstract

The purpose of this study was to determine the efficacy of corticosteroid irrigation of the parotid gland in relieving salivary flow deficiency in patients with Sjogren's syndrome.
The parotid glands of thirty-nine patients with primary (twenty nine) or secondary (ten) Sjogren's syndrome were irrigated either with saline solution followed by corticosteroid solution. Salivary function was assessed by Saxon test.
Corticosteroid irrigation significantly increased the salivary flow rate in patients with Sjogren's syndrome (p< 0.0001), with clinical improvement detectable 4.0 "*" 2.6 weeks after initial corticosteroid irrigation. The extent of improvement in salivary function was reciprocal to the clinical severity of the disease, with patients at the early stages obtaining 1.20*0.57 g net increase in salivary flow rate, and patients at the most advanced stages obtaining 0.20 "*" 0.47 g net increase. Repeated steroid irrigations did not evoke steroid refractoriness of the salivary gland ; similar levels of net increase in salivary flow rate were observed after the second to fourth challenge of the corticosteroid in these patients. The sustained period was 8.6 months.
These findings suggest the clinical usefulness of corticosteroid irrigation therapy in relieving xerostomia in patients with Sjogren's syndrome.

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (10 results)

All Other

All Publications (10 results)

  • [Publications] Izumi M.,他4名: "Premature fat deposition in salivary glands affected by Sjogren's syndrome; Evidence by MR and CT" AJNR. 18. 951-958 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Izumi M.,他6名: "MR features of the lacrimal gland in Sjogren's syndrome" AJR. 170. 1661-1666 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Izumi M.,他5名: "Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome" Ann Rheum Dis. 57. 464-469 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] M.Izumi, K.Eguchi, H.Nakamura, S.Nagataki, T.Nakamura: "Premature fat deposition in salivary glands affected by Sjogren's syndrome : Evidence by MR and CT." AJNR. 18. 951-958 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] M.Izumi, K.Eguchi, M.Uetani, H.Nakamura, Y.Takagi, K.Hayashi, T.Nakamura: "MR features of the lacrimal gland in Sjogren's syndrome." AJR. 170. 1661-1666 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] M.Izumi, K.Eguchi, H.Nakamura, Y.Takagi, Y.Kawabe, T.Nakamura: "Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome." Ann Rheum Dis. 57. 464-469 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Izumi M.,他4名: "Premature fat deposition in salivary glands affected by Sjogren's syndrome;Evidence by MR and CT" AJNR. 18. 951-958 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Izumi M.,他6名: "MR features of the lacrimal gland in Sjogren's syndrome" AJR. 170. 1661-1666 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Izumi M.,他5名: "Corticosteroid irrigation of parotid gland for treatment of xerostomia in patients with Sjogren's syndrome" Ann Rheum Dis. 56. 464-466 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Izumi M.,他4名: "Premature fat deposition in salivary glands affected by Sjogren´s syndrome ; Evidence by MR and CT" AJNR. 18. 951-958 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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