Chronic inflammatory disorder characterized by lymphocytic infiltrates in exocrine organs
Typically presents with diminished salivary and lacrimal gland function, resulting in sicca symptoms suc...
2016 ACR/EULAR classification criteria (2)[A]:
Based on five objective tests/items
Inclusion criteria applicable if the patient is positive for one ocular/oral dryness symptom based on the AE...
Treatment is primarily supportive.
Treat sicca symptoms—dry eyes, dry mouth.
Avoid medications that may worsen oral dryness (i.e., anticholinergics).
Promote good oral hygiene.
Treat systemic ma...
Monitor for complications, systemic manifestations, and relief of symptoms.
Medicolegal pitfalls: Mon...
M35.01 Sjögren syndrome with keratoconjunctivitis
M35.03 Sjögren syndrome with myopathy
M35.00 Sjögren syndrome, unspecified
M35.0 Sjögren syndrome
M35.02 Sjögren syndrome with lung involvement
Many symptoms of SS can be treated with simple interventions such as artificial tears and sugar-free lozenges.
Consider lacrimal duct plugs for dry eyes.
Consider SS in patients with une...
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Scleroderma is a connective tissue disorder that qualifies a patient with dry mouth or dry eye for the diagnosis of secondary Sjogren's syndrome. Scleroderma is often associated with tightness of the eyelids and narrowing of the palpebral tissues. Rheumatoid arthritis, lupus, and positive blood tests for rheumatoid factor, antinuclear antibody, SS-A, and SS-B indicate a systemic autoimmune disorder.
From Gold DH, MD, Weingeist TA, MD, PhD Color Atlas of the Eye in Systemic Disease. Baltimore: Lippincott Williams & Wilkins, 2001.
Scleroderma is a connective tissue disorder that qualifies a patient with dry mouth or dry eye for the diagnosis of secondary Sjogren's syn...