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Frontiers | CD48, CD69, and TIGIT as diagnostic biomarkers for primary Sjögren’s syndrome: an integrated machine learning and multi-disease discrimination validation study
1 Introduction Primary Sjögren’s syndrome (pSS) is a systemic autoimmune disorder (1) characterized primarily by sicca symptoms (xerostomia and xerophthalmia) (2, 3). Progressive involvement of extraglandular organs (e.g., renal, pulmonary, gastrointestinal, and neurological systems) frequently occurs (4), resulting in multisystem damage that substantially impairs quality of life (5–8). The diagnosis of pSS remains challenging due to its insidious onset and non-specific early manifestations.
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