We don't have "Arthritis".  
We have Autoimmune Arthritis diseases.

Sjogren's Syndrome

Sjogren's Syndrome (pronounced Show-grins)

Sjogren's Syndrome, while often defined as a glandular autoimmune disease, also affects the joints in over 90% of all patients, which is why the IAAM classifies it as an Autoimmune Arthritis.  Although it is sometimes a secondary disease to other Autoimmune Arthritis conditions, such as Rheumatoid Arthritis or Systemic Lupus, it also presents itself as a primary disease, which can be equally as debilitating as all other diseases in this genre. 

In Sjogren's syndrome, the mucous membranes and moisture-secreting glands of your eyes and mouth are usually affected first — resulting in decreased production of tears and saliva.  In many cases the salivary glands will swell — particularly the set located behind your jaw and in front of your ears, often mirroring the sensation of an ear infection. Frequent dental visits are recommended due to an increase in decay. Vision problems may be prominent, particularly excessive dryness and sensitivity to light. 

Symptoms Can Include

  • Glandular Swelling
  • Eye Irritation and vision problems
  • Joint Pain
  • Musculoskeletal pain
  • Fatigue
  • Skin rashes
  • Vaginal dryness
  • Persistant cough
  • Connective Tissue and/or Organ Involvement
  • Brain Fog
  • Raynaud's Phenomenon
  • Numbness of the extremities

    Please note, as in all the Autoimmune Arthritis diseases, no two patients may experience the exact same issues, degree of affect or combination of symptoms.

     Diagnosis

    Although you can develop Sjogren's syndrome at any age, most people are older than 40 at the time of diagnosis and the condition is much more common in women. However, in saying this, a diagnosis of Sjogren's syndrom often takes years to reach, on average over 6 years, so the onset could, in fact, be much younger.  Like the other Autoimmune Arthritis diseases, Sjogren's can occur at any age, including childhood.

    There are a variety of reasons for a delay in diagnosis.  Sjogren's often overlaps with other diseases, most often Rheumatoid Arthritis and Systemic Lupus.  But the disease itself can share symptoms silimar to other Autoimmune Arthritis diseases, in addition to fibromyalgia (nerve condition) and multiple sclerosis. 

    There is no single test that will confirm diagnosis. However, a classification criteria has been developed in order to make a diagnosis more clear for doctors.  Testing and observation will consider dryness symptoms, changes in salivary (mouth) and lacrimal (eye) gland function, and systemic (whole body) findings.  In addition, blood work can be performed but no one blood test can conclusively diagnose Sjogren's.


    Treatment

    Prescription strength eye drops and mouth preparations are available to assist with dryness complications.  However, if Sjogren's becomes more moderate to severe, immune system suppressants, such as disease modifying agents or biologics may be prescribed.  Because this disease, like other Autoimmune Arthritis conditions, can cause permanent joint damage and involve organs, visiting your Rheumatologist regularly is of particular importance in managing your disease.

     

     

     

    References: All information displayed regarding medical symptoms and diagnosis information is collected from resources such as the Arthritis Foundation, the American College of Rheumatology, the Lupus Foundation, the Sjogren's Syndrome Foundation, and the National Psoriasis Foundation.
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