American Indians Have a Higher Risk of Sjögren's Syndrome and More Disease Activity Than European Americans and African Americans.
Robert Hal ScofieldRohan SharmaNathan PezantJennifer A KellyLida RadfarDavid M LewisC Erick KaufmanSarah CioliJudy HarrisKiely GrundahlNelson L RhodusDaniel J WallaceMichael H WeismanSwamy VenuturupalliMichael T BrennanKristi A KoelschChristopher J LessardCourtney G MontgomeryKathy L SivilsAstrid RasmussenPublished in: Arthritis care & research (2020)
AI are affected at high rates with SS but present with few classical features, potentially preventing timely diagnosis. In contrast to SLE, SS is infrequent and not more severe among AA, but the triad of hypergammaglobulinemia, increased ESR, and parotid enlargement warrants extra vigilance for lymphomagenesis.