Recent studies have found that patients with Sjögren disease, particularly those with mucosa-associated lymphoid tissue (MALT) lymphoma, may benefit from a more aggressive treatment approach. The studies confirmed that rheumatoid factor (RF) is a key predictor of Sjögren disease–related MALT lymphoma and that systemic treatment strategies can reduce disease activity and the risk of lymphoma relapse. These findings suggest that a combination of chemotherapy and anti-CD20 therapy with rituximab as a first-line treatment may be more effective in managing the disease. Further research is needed to explore biomarkers for lymphoma development and optimal treatment strategies for Sjögren disease–related lymphoma.
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