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.
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