Evidence map›Paper›PMID 41574151›Full record

ArticleClinical case reports2026

Cognitive Impairment in Sjögren's Disease: Unmasking Alzheimer's Through CSF Biomarkers. A Case Report.

Eliza Georgiou, Ruth Comber, Mina Alemam, Lisa Crosby, Anna Kirwan, Fiona Smyth, Elaine Greene

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eliza GeorgiouMemory Clinic, MISA, St James Hospital Dublin Ireland.ORCID https://orcid.org/0000-0002-0013-0783
Ruth ComberMemory Clinic, MISA, St James Hospital Dublin Ireland.
Mina AlemamMemory Clinic, MISA, St James Hospital Dublin Ireland.
Lisa CrosbyMemory Clinic, MISA, St James Hospital Dublin Ireland.
Anna KirwanMemory Clinic, MISA, St James Hospital Dublin Ireland.
Fiona SmythMemory Clinic, MISA, St James Hospital Dublin Ireland.
Elaine GreeneMemory Clinic, MISA, St James Hospital Dublin Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive impairment in Sjögren's disease (SD) is typically attributed to autoimmune mechanisms or small vessel disease. However, its overlap with neurodegenerative pathology remains poorly understood. We report a 74-year-old woman with clinically diagnosed SD presenting with progressive memory decline. She demonstrated severe amnestic deficits on neuropsychological testing and had a cerebrospinal fluid (CSF) profile consistent with Alzheimer's disease (AD), including low Aβ1-42 and elevated total tau and phosphorylated tau. MRI revealed only mild small vessel disease. This case highlights the diagnostic importance of CSF biomarkers in distinguishing neurodegenerative from autoimmune cognitive syndromes. Though the overlap may be coincidental, it raises the question of whether systemic inflammation in SD could contribute to AD pathogenesis. This case illustrates how neurodegenerative disease may be overlooked in patients with autoimmune conditions. In individuals with SD and persistent amnestic symptoms, biomarker testing can help distinguish Alzheimer's pathology from autoimmune cognitive syndromes and guide more accurate diagnosis and care.

Indexed as

Alzheimer's DiseaseautoimmunebiomarkersMCISjögren's Disease

Identifiers

PMID41574151
PMCPMC12819169

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.