{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T22:52:09Z","timestamp":1781304729914,"version":"3.54.1"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T00:00:00Z","timestamp":1359331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>Classification of the wide variety of autoimmune diseases that can occur before or after the onset of Sj\u00f6gren\u2019s syndrome (SS) is currently debated within the conventional SS criteria or as primary SS ( pSS) developing autoimmune disease or as \u2018associated-overlap\u2019 with other systemic autoimmune diseases. There is also debate on whether or not to consider annular polycyclic subacute cutaneous lupus erythematosus (SCLE) and annular erythema associated with Sj\u00f6gren's syndrome (AESS) as a spectrum linked to Ro-SSA and\/or La-SSB auto-antibodies (SSA\/SSB auto-ab). We present the case of a 55-year-old female patient, with pSS positive for SSA and SSB auto-ab, who developed chronic relapsing polymyositis and atypical annular non-polycyclic SCLE lesions resembling AESS, which seemed to suggest a common spectrum. While a chronic-progressive polymyositis may be generally accepted as a relatively rare myositis complicating pSS, interpretation of annular lesions of non-systemic SCLE in SS patients might actually be underestimated as pSS skin manifestation likely related to SSA\/SSB auto-ab.<\/jats:p>","DOI":"10.1177\/0961203312474703","type":"journal-article","created":{"date-parts":[[2013,1,29]],"date-time":"2013-01-29T05:11:46Z","timestamp":1359436306000},"page":"312-315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Annular subacute cutaneous lupus erythematosus lesions and polymyositis onset in a patient with primary Sj\u00f6gren's syndrome: how should this unusual association be classified?"],"prefix":"10.1177","volume":"22","author":[{"given":"E","family":"Bernacchi","sequence":"first","affiliation":[{"name":"Dermatologic Clinic, University of Florence \u2013 Italian Group of Cutaneous Immunopathology, Italy"},{"name":"UO Rheumatology, University of Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Neri","sequence":"additional","affiliation":[{"name":"UO Rheumatology, University of Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Caproni","sequence":"additional","affiliation":[{"name":"Dermatologic Clinic, University of Florence \u2013 Italian Group of Cutaneous Immunopathology, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Loggini","sequence":"additional","affiliation":[{"name":"Patological Anatomy Institute, University of Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Fabbri","sequence":"additional","affiliation":[{"name":"Dermatologic Clinic, University of Florence \u2013 Italian Group of Cutaneous Immunopathology, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Bombardieri","sequence":"additional","affiliation":[{"name":"UO Rheumatology, University of Pisa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,1,28]]},"reference":[{"key":"bibr1-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.029066"},{"key":"bibr2-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2006.08.007"},{"key":"bibr3-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1136\/ard.61.6.554"},{"key":"bibr4-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2008.08.009"},{"key":"bibr5-0961203312474703","doi-asserted-by":"publisher","DOI":"10.3109\/s10165-009-0257-y"},{"key":"bibr6-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2008.12.017"},{"key":"bibr7-0961203312474703","doi-asserted-by":"crossref","unstructured":"Bohan A, Peter JB. Polymyositis and dermatomyositis.\n                      New Engl J Med\n                      1975; 292: 344\u2013347, 403\u2013407.","DOI":"10.1056\/NEJM197502202920807"},{"key":"bibr8-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1007\/s002960100137"},{"key":"bibr9-0961203312474703","doi-asserted-by":"publisher","DOI":"10.3109\/s101650300008"},{"key":"bibr10-0961203312474703","doi-asserted-by":"crossref","unstructured":"Uchida T, Nakano H, Omata M,\n                      et al.\n                      A case of primary Sjogren's syndrome complicated by chronic progressive myositis.\n                      Japanese Journal of Clinical Immunology\n                      2010; 33: 277\u2013282.","DOI":"10.2177\/jsci.33.277"},{"key":"bibr11-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2007.06554.x"},{"key":"bibr12-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09472.x"},{"key":"bibr13-0961203312474703","first-page":"55","author":"Bernacchi E","year":"2004","journal-title":"Clin Exp Rheumatol"},{"key":"bibr14-0961203312474703","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68698-4"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203312474703","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0961203312474703","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203312474703","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:12:57Z","timestamp":1777677177000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0961203312474703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,28]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1177\/0961203312474703"],"URL":"https:\/\/doi.org\/10.1177\/0961203312474703","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"value":"0961-2033","type":"print"},{"value":"1477-0962","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,28]]}}}