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Information

International classification criteria based on clinical and laboratory features have been established (Table 383-5, HPIM-19, p. 2168).

Treatment: Sjögren's Syndrome

  • Regular follow-up with dentist and ophthalmologist.
  • Dry eyes: artificial tears, ophthalmic lubricating ointments, local stimulation with cyclic adenosine monophosphate or cyclosporine drops.
  • Xerostomia: frequent sips of water, sugarless candy.
  • Pilocarpine or cevimeline: may help sicca manifestations.
  • Hydroxychloroquine: may help arthralgias.
  • Glucocorticoids: not effective for sicca symptoms but may have role in treatment of extraglandular manifestations.

Outline

Section 12. Allergy, Clinical Immunology, and Rheumatology