Sjögren's Syndrome

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Sjögren's syndrome facts

  • Sjögren's syndrome is an autoimmune disease.
  • Sjögren's syndrome involves inflammation of glands and other tissues of the body.
  • About 90% of Sjögren's syndrome patients are female.
  • Sjögren's syndrome can be complicated by infections of the eyes, breathing passages, and mouth.
  • Sjögren's syndrome is typically associated with antibodies against a variety of body tissues (autoantibodies).
  • Diagnosis of Sjögren's syndrome can be aided by a saliva-gland biopsy.
  • Treatment of patients with Sjögren's syndrome is directed toward the particular areas of the body that are involved and complications, such as infection.

What is Sjögren's syndrome?

Sjögren's syndrome is an autoimmune disease characterized by dryness of the mouth and eyes. Autoimmune diseases feature the abnormal production of extra antibodies in the blood that are directed against various tissues of the body. The misdirected immune system in autoimmunity tends to lead to inflammation of tissues. This particular autoimmune illness features inflammation in glands of the body that are responsible for producing tears and saliva. Inflammation of the glands that produce tears (lacrimal glands) leads to decreased water production for tears and decreased saliva production and dry eyes. Inflammation of the glands that produce the saliva in the mouth (salivary glands, including the parotid glands) leads to dry mouth and dry lips.

Sjogren's syndrome with gland inflammation (resulting in dry eyes and mouth, etc.) that is not associated with another connective tissue disease is referred to as primary Sjögren's syndrome. Sjögren's syndrome that is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma, is referred to as secondary Sjögren's syndrome. Dryness of eyes and mouth, in patients with or without Sjögren's syndrome, is sometimes referred to as sicca syndrome.

Reviewed by Melissa Conrad Stöppler, MD on 9/30/2011


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How Is Sjögren's Syndrome Treated?

Treatment can vary from person to person, depending on what parts of the body are affected. But in all cases, the doctor will help relieve your symptoms, especially dryness. For example, you can use artificial tears to help with dry eyes and saliva stimulants and mouth lubricants for dry mouth. Treatment for both mouth and eye dryness is described in more detail below.

If you have extraglandular involvement (that is, a problem that extends beyond the moisture-producing glands of your eyes and mouth), your doctor -- or the appropriate specialist -- will also treat those problems. Treatment may include the following:

  • nonsteroidal anti-inflammatory drugs, such as ibuprofen for joint or muscle pain
  • corticosteroid medications, such as prednisone, to suppress inflammation that threatens the lungs, kidneys, blood vessels, or nervous system
  • immune-modifying drugs such as hydroxychloroquine, methotrexate, and cyclophosphamide to control the overactivity of the immune system that, in severe cases, can lead to organ damage.

SOURCE:

National Institute of Arthritis and Musculoskeletal and Skin Diseases

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