First described by Swedish ophthalmologist Henrik Sjögren. Chronic autoimmune disorder characterized by inflammation from lymphocytic infiltration of exocrine organs (especially lacrimal and sa...
2016 ACR/EULAR classification criteria (1)[A]:
Based on five objective tests/items
Inclusion criteria applicable if the patient is positive for one ocular/oral dryness symptom (based on the A...
Goals of treatment: symptom palliation, improved quality of life, monitor and treat systemic manifestations.
Prior to treatment of oral dryness assess baseline salivary gland function. Avoid ...
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 nonpharmacologic interventions such as artificial tears and sugar-free candy/lozenges.
Coordinate care management with rheumatology, ophthalmolog...
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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...