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Sjogren

Rheumatology

QuestionAnswer
Defn Sjogren syndrome inflam dz of exocrine glands (sicca)
If sjogren sx and no other autoimmune dz = Primary Sjogren
If autoimmune dz and sjogren sx = secondary sjogren
Sjogren sx sicca (dry eyes & mouth (xerostomia); parotid enlargement; poss also fatigue/ myalgias (rare: internal organ involvement: lungs, kidneys, etc
Sjogren: Testing: Eyes: Schirmer’s test: measures tear production on paper; Rose-Bengal staining: shows corneal damage
Sjogren: Testing: Mouth: salivary gland biopsy
Sjogren: Testing: Labs: antibodies to Ro and La
Sjogren: Tx: Keratoconjunctivitis sicca: ocular lubricants, artificial tears
Sjogren: Tx: Xerostomia: liberal fluids; specially-formulated mouthwash, toothpaste, chewing gum (Biotene), oral moisturizers
Sjogren: Tx: Systemic sx steroids; NSAIDs; DMAARDs (usually hydroxychloroquine)
Defn Sjogren syndrome inflam dz of exocrine glands (sicca); usu middle aged F
If autoimmune dz and sjogren sx = secondary sjogren
Sjogren sx sicca (dry eyes & mouth (xerostomia); parotid enlargement; poss also fatigue/ myalgias (rare: internal organ involvement: lungs, kidneys, etc
Created by: Abarnard
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