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