Non Sjögren's sicca syndrome

Patients with non-Sjögren's sicca report poorer general

Sjögren's syndrome (SS) is a systemic, autoimmune connective tissue disease presenting a wide range of sicca symptoms, mainly dry mouth and dry eyes that result from permanently impaired. RESULTS: Fifty-one percent of pSS-ILD patients presented with non-sicca onset. Although the mean diagnosis time was equal, only 4% of non-sicca onset patients were diagnosed with pSS at onset versus 34% with sicca onset (P = 0.000) These patients, generally known as non-Sjögren's sicca patients, lack characteristic features of Sjögren's, such as Ro/SSA and La/SSB autoantibodies and immune cells infiltrating salivary glands. Sjögren's syndrome is known to have a significant negative effect on quality of life

Interstitial lung disease in non-sicca onset primary

  1. Also known as Sjogren's syndrome, sicca syndrome is a commonly occurring chronic autoimmune disease. Patients diagnosed with it experience a constant feeling of dry mouth and dry eyes. Learn more about sicca syndrome, sicca syndrome symptoms, and its treatment approaches
  2. Sjögren's syndrome (SS) is a chronic, multisystem autoimmune disease characterized by lacrimal and salivary gland inflammation, with resultant dryness of the eyes and mouth and occasional glandular enlargement. In addition, a variety of systemic (so-called extraglandular) manifestations may occur, including fatigue, musculoskeletal symptoms.
  3. Sjögren's syndrome (SS) is a chronic multisystem inflammatory disorder characterized by lymphocytic infiltration of the lacrimal and salivary glands and resultant dry eyes and mouth. A variety of other disease manifestations may also be present, including additional issues with sicca, such as dryness of the skin, nasal passages, and vagina.
(PDF) Primary Sjögren's Syndrome without Sicca Symptoms

In Sjogren's syndrome, the mucous membranes and moisture-secreting glands of your eyes and mouth are usually affected first — resulting in decreased tears and saliva. Although you can develop Sjogren's syndrome at any age, most people are older than 40 at the time of diagnosis Sjogren syndrome likely results from a combination of genetic and environmental factors (it appears to be multifactorial). Several different genes appear to affect the risk of developing the condition, but specific genes have not been confirmed. Simply having one of these genes does not cause a person to develop the disease. Some sort of trigger is also needed, such as a viral or bacterial. Sjögren's syndrome can cause nerve damage which regulates the coordination of heartbeat, respiration, and gastric motility. This is called an autonomic neuropathy.. Examples of symptoms include lightheadedness when standing, decreased or increased sweating, and feeling full despite eating small meals Keratoconjunctivitis sicca is chronic, bilateral desiccation of the conjunctiva and cornea due to an inadequate tear film. Symptoms include itching, burning, irritation, and photophobia. Diagnosis is clinical; the Schirmer test may be helpful. Treatment is with topical tear supplements and sometimes blockage of the nasolacrimal openings Objective: To assess the health status and fatigue in sicca patients with or without Sjögren's syndrome (SS) and to test whether the immune-inflammatory activity or the extent of the disease predict fatigue in SS. Methods: The Medical Outcomes Study Short-Form General Health Survey (MOS SF-36) was used in 1 degree SS (n = 90), 2 degrees SS (n = 24), non-SS patients with sicca symptoms (n = 15.

Sjögren syndrome (SS) is an autoimmune disease that mainly affects secretory glands of the eyes and mouth, reducing production of tears and saliva ( sicca symptoms) and resulting in dry eyes (called keratoconjunctivitis sicca) and dry mouth (xerostomia). Many patients with Sjögren syndrome also have features of other autoimmune diseases, such. Sjögren's syndrome is a chronic disorder that causes insufficient moisture production in certain glands of the body, including the saliva-producing and tear-producing glands. The lungs, bowel and other organs are less often affected by Sjögren's syndrome. Appointments 216.444.2606. Appointments & Locations Sjögren syndrome is a relatively common chronic, autoimmune, systemic, inflammatory disorder of unknown cause. It is characterized by dryness of the mouth, eyes, and other mucous membranes due to lymphocytic infiltration of exocrine glands and secondary gland dysfunction. Sjögren syndrome can affect various exocrine glands or other organs Primary Sjogren's: requires 4 of the 6 criteria below, including either positive antibodies or positive lip biopsy. Secondary Sjogren's requires diagnosis of connective tissue disease and one sicca symptom and 2 out of the 3 objective tests for either xeropthalmia (ocular) or xerostomia (oral) symptoms. 1.Positive antibodies Sjögren's syndrome (SjS, SS) is a long-term autoimmune disease that affects the body's moisture-producing (lacrimal and salivary) glands, and often seriously affects other organs systems, such as the lungs, kidneys, and nervous system. Primary symptoms are dryness (dry mouth and dry eyes), pain and fatigue.Other symptoms can include dry skin, vaginal dryness, a chronic cough, numbness in the.

The lacrimal exocrinopathy of primary Sjögren's syndrome (pSS) is one of the main causes of severe dry eye syndrome and a burden for patients. A prospective cohort of 40 pSS and 40 non-pSS Sicca patients with dryness was explored through a standardized targeted metabolomic approach using liquid chromatography coupled with mass. The aim of the present pilot study was to investigate the effect of a Mindfulness-Based Stress Reduction (MBSR) protocol on perceived stress, awareness, mood states, mental and physical health, and discomfort associated with mucosal dryness in patients with primary SS (pSS) and non-Sjögren's sicca syndrome (nS-SS) Objectives: To investigate whether differences in T helper (Th) 1 and Th2 cell activity in salivary glands (local) or (peripheral) blood can discriminate between Sjögren's syndrome (SS) and non-Sjögren's sicca syndrome (nSS-sicca). Additionally, to study relationships of local and peripheral Th cell activities with each other and with disease activity measures Seventy-seven patients had a diagnosis of SS (75 primary and 2 secondary) and 192 did not meet the ACR/EULAR criteria for SS (grouped as non-Sjögren's dry syndrome (NSDS)). Of these 192 patients, 60 had another possible cause of sicca syndrome and 132 patients were diagnosed with SAPS ( figure 2 )

Sjogren's syndrome can be difficult to diagnose because the signs and symptoms vary from person to person and can be similar to those caused by other diseases. Side effects of a number of medications also mimic some signs and symptoms of Sjogren's syndrome Non-Celiac Gluten Sensitivity, Sjögren's Possibly Linked It's also possible that Sjögren's syndrome is linked to non-celiac gluten sensitivity . In a study   conducted in Sweden and published in the Scandinavian Journal of Gastroenterology , researchers took 20 people with Sjögren's syndrome, plus 18 people without the condition, and. But once the doctor considers the possibility of Sjogren's syndrome after excluding other causes for the sicca symptoms, it can easily be diagnosed based on clinical features, blood tests, and in some cases, a biopsy of the salivary glands. The diagnostic tests for Sjogren's syndrome include: 1. Blood tests Other studies have explored the relationship between Sjgrens syndrome and NHL. S.S. Kassan and colleagues first documented this link in 1978. They ascertained the risk of cancer in 136 women with keratoconjunctivitis sicca (KCS) followed at the National Institute of Health, and found a 43.8 times greater incidence of lymphoma among women of the same age range in the general population during. Sicca syndrome is the term used to describe the main clinical features of Sjögren syndrome: dry eyes (keratoconjunctivitis sicca) and mouth (xerostomia). Sjögren syndrome can affect other lubricating secretions as well, resulting in dryness in the throat, nose, skin, and vagina (Table 1)

Sjogren's Patients Have Better Quality of Life Than Non

Sjögren's (pronounced show-grins) syndrome is a condition that affects parts of the body that produce fluids, like tears and spit (saliva). It usually starts in people aged 40 to 60 and is much more common in women than men. It's a long-term condition that can affect your daily life, but there are treatments to help relieve the symptoms Sjogren syndrome is far from a rare disorder with an incidence approaching approximately one-half of that of rheumatoid arthritis (RA) or affecting 0.5% to 1.0% of the population. Between 400,000 and 3.1 million adults have Sjögren's syndrome. This condition can affect people of any age, but symptoms usually appear between the ages of 45 and 55 Let's build the knowledge bank we all need to better understand Sjogren's syndrome. The more we share, the more we can help everyone living with Sjogren's syndrome NON-SJGREN'S SYNDROME AND SJGREN'S SYNDROME KERATOCONJUNCTIVITIS SICCA: A SPECTRUM OF INFLAMMATORY DRY EYE ABSTRACT This is an application for a mentored K23 career development award to Dr. John A. Gonzales, a uveitis specialist at The F.I. Proctor Foundation at the University of California, San Francisco

What is sicca syndrome? Sjogren's disease or Sjogren's syndrome is an inflammatory autoimmune disease. The immune system usually guards the body from microorganisms and foreign invasions by germs. In autoimmune diseases the immune system fails to recognize self from non-self and attacks the body's own cells In primary Sjögren's syndrome, HLA class II is associated exclusively with autoantibody production and spreading of the autoimmune response. Arthritis Rheum . 2003 Aug. 48(8):2240-5. [Medline] Evidence overwhelmingly supports that Sjogren's is a complex, multisystemic, inflammatory disease. Many systemic (non-sicca) manifestations tend to be overlooked. Life-threatening manifestations do occur. About 10% of Sjogren's patients die from direct disease complications. ( 24, 16, 42, 116 The first clinical description of Sjögren syndrome was by Mikulicz, who described a 42-year-old with bilateral parotid and lacrimal gland enlargement in 1892. In 1933, the Danish Ophthalmologist Sjögren compiled a clinical and histopathologic description of a series of patients with the sicca complex of dry eyes and mouth Sicca syndrome: An autoimmune disease, also known as Sjogren syndrome, that classically combines dry eyes, dry mouth, and another disease of connective tissue such as rheumatoid arthritis (most common), lupus, scleroderma or polymyositis.. There is a great preponderance of females. About 90% of Sjogren syndrome patients are female, usually in middle age or older

The differential diagnosis of Sjögren's syndrome (SS) includes diseases that cause sicca symptoms and/or salivary or lacrimal gland enlargement ( table 1 ). Most of these conditions can be excluded based upon the history and physical examination, along with a lack of evidence for systemic autoimmunity Drugs used to treat Sjogren's Syndrome. The following list of medications are in some way related to, or used in the treatment of this condition. Select drug class All drug classes antirheumatics (3) antimalarial quinolines (2) cholinergic agonists (2) TNF alfa inhibitors (1) Rx. OTC Non-Sjögren dry eye (NSDE), is a term which may be used to cover a group of local and systemic disorders,excluding Sjögren's syndrome giving rise to the symptoms and signs of dry eye.Their causes are given in Tables 1,2, and 3 The unstimulated whole salivary flow rate in the Sjögren's group was lower than in controls (healthy and patients with non-Sjögren Sicca syndrome) (MD-0.18 ml/min; 95% CI, − 0.24 to − 0.13; chi2-P-value < 0.00001). Heterogeneity was 97% and there was publication bias (funnel plot). The level of evidence was mostly 3 or 4

Sjögren's syndrome compared to controls (healthy and non-SS sicca) through a meta-analysis. Trial registration: PROSPERO CRD42020211325. Keywords: Sjögren's syndrome, Salivary glands, Xerostomia, Autoimmune diseases, Autoimmunit Short description: Sicca syndrome [Sjogren] The 2021 edition of ICD-10-CM M35.0 became effective on October 1, 2020. This is the American ICD-10-CM version of M35.0 - other international versions of ICD-10 M35.0 may differ. The following code (s) above M35.0 contain annotation back-references The EULAR Sjogren's syndrome patient reported index as an independent determinant of health-related quality of life in primary Sjogren's syndrome patients: in comparison with non-Sjogren's sicca patients. Cho HJ(1), Yoo JJ, Yun CY, Kang EH, Lee HJ, Hyon JY, Song YW, Lee YJ Historical note and terminology. In 1933, Henrik Sjögren described the association of keratoconjunctivitis sicca (filamentary keratitis) with arthritis (99).Morgan and Castleman noted the histopathological commonality between the keratitis described by Sjögren and the glandular enlargement described by Mikulicz (70; 67).By 1973, the term Sjögren syndrome became widely accepted as.

Sicca Syndrome: Contributing Factors, Symptoms, and Treatment

SICCA Registry Participant Cohort. To be eligible for the SICCA registry, participants must be at least 21 years of age and have one of the following: 1) a complaint of dry eyes or dry mouth; 2) bilateral parotid enlargement; 3) a recent increase in dental caries; 4) a previous diagnosis of Sjögren's syndrome (SS); or 5) elevated titers of: antinuclear antibodies (ANA), rheumatoid factor (RF. ICD-10-CM Code H16.22Keratoconjunctivitis sicca, not specified as Sjogren's. ICD-10-CM Code. H16.22. NON-BILLABLE. Non-Billable Code. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail The common clinical features of Sjögren's syndrome include keratoconjunctivitis sicca, xerostomia, salivary gland enlargement, rashes or skin irritation, vaginal dryness with dyspareunia, non-erosive arthralgias, generalized osteoarthritis, Raynaud's phenomenon, and fatigue, while less common features include low-grade fever, interstitial.

(PDF) Proteomic analysis of saliva: A unique tool to

Treatment of Sjögren's syndrome: Constitutional and non

Sjogren's syndrome may manifest as.. Primary Sjogren's syndrome-> Only the salivary and lacrimal glands are affected, causing xerostomia (dry mouth) and xerophthalmia (dry eyes).This is also called Sicca syndrome; Secondary Sjogren's syndrome-> Apart from Sicca syndrome, the patient may also have other associated auto-immune diseases like rheumatoid arthritis, scleroderma, systemic lupus. Keratoconjunctivitis sicca and xerostomia are the main clinical symptoms. Sicca is a Latin word meaning dry. Dryness of the eyes and mouth without evidence of autoimmune disease is called Sicca syndrome or Sicca complex. SS can be primary or secondary. Primary includes keratoconjunctivitis sicca and xerostomia which is the same as Sicca syndrome Sjögren syndrome is a systemic chronic inflammatory disorder characterized by lymphocytic infiltrates in exocrine organs. Most individuals with Sjögren syndrome present with sicca symptoms, such as xerophthalmia (dry eyes), xerostomia (dry mouth), and parotid gland enlargement, which is seen in the image below Although sicca features are the central clinical manifestations of the disease, pSS can cause systemic extraglandular manifestations. Classification criteria for Sjögren's syndrome: a revised version of the European criteria proposed by the American-European Consensus Group. The causes of death in the two remain patients included non.


Primary Sjögren's syndrome (SS) was suspected, given the Upon further questioning, the patient did acknowledge mild sicca symptoms that were not bothersome to the patient. A parotid gland biopsy was non-diagnostic. A sural nerve biopsy showed axonal degeneration and. Atrophic tongue in the Sjogren's Syndrome. Types:- Sjogren's Syndrome (SS) is of two types. Primary SS - When disease occurs alone. Secondary SS - When it is associated with rheumatoid arthritis, SLE, and less frequently with systemic sclerosis. Age: It involves middle-aged females 40 to 60 years of age. 90% of patients are women with a. The two symptoms that everyone with Sjögren's syndrome will notice are: Dry mouth (xerostomia). Dry eyes (xerophthalmia). Eyes may feel gritty and uncomfortable. The dryness of the eyes, mouth and other body parts is known as sicca syndrome. As well as Sjögren's syndrome, sicca syndrome can also be caused by radiotherapy treatment and other.

Sjogren's syndrome - Symptoms and causes - Mayo Clini

Interest in keratoconjunctivitis sicca, which is an inflammation of the cornea and conjunctiva associated with dryness, was limited primarily to ophthalmologists until 1933 when Sjögren 1 reported finding stomorhinopharyngolaryngitis sicca, enlargement of the salivary glands, and arthritis in patients with keratoconjunctivitis sicca. The association of these conditions with. Sjogren's Syndrome: Chronic inflammatory and autoimmune disease in which the salivary and lacrimal glands undergo progressive destruction by lymphocytes and plasma cells resulting in decreased production of saliva and tears. The primary form, often called sicca syndrome, involves both KERATOCONJUNCTIVITIS SICCA and XEROSTOMIA. The secondary form includes, in addition, the presence of a. Sjögren syndrome is an autoimmune disorder in which the glands that produce tears and saliva are destroyed. This causes dry mouth and dry eyes. The condition may affect other parts of the body, including the kidneys and lungs. Antigens are large molecules (usually proteins) on the surface of cells, viruses, fungi, bacteria, and some non-living. Autoantibodies Present in Saliva from Sjogren's Syndrome and Non-Sjogren's Sicca Patients Are Not Detectible in Serum. Kristi A. Koelsch 1,2,3, Joshua Cavett 3,4, Kenneth Smith 3, Jacen Maier-Moore 5,.

Sjogren syndrome Genetic and Rare Diseases Information

Managing Sjögren's Syndrome and non-Sjögren Syndrome dry eye with anti-inflammatory therapy Terry G Coursey, Cintia S de PaivaCullen Eye Institute, Baylor College of Medicine, Houston, TX, USAAbstract: Dry eye from Sjögren's syndrome is a multifactorial disease that results in dysfunction of the lacrimal functional unit To investigate the significant determinants of health-related quality of life (HRQOL) and the association of the EULAR Sjögren's syndrome patient reported index (ESSPRI) with clinical parameters including HRQOL in Korean patients with primary Sjögren's syndrome (pSS) compared with non-SS sicca patients. Methods Compared to healthy individuals, elevated serum levels of polyclonal FLCs are seen in autoimmune diseases associated with increased B-cell activation, including primary Sjögren's syndrome (pSS). In pSS, serum FLC levels correlate with IgG, rheumatoid factor and systemic disease activity. 1 However, the clinical relevance of serum FLC levels. Sjögren's is a distinct systemic autoimmune, rheumatic disease that can affect multiple organs and body systems. Dryness certainly occurs in Sjögren's, but dryness alone does not represent the disease and the many other symptoms in-volved. Furthermore, sicca includes many non-Sjögren's patients who may have dryness symp Increasing evidence suggests that aberrant expression of microRNAs (miRNAs) is involved in the pathogenesis of primary Sjögren's syndrome (pSS). The aim was thus to characterize the miRNA profile in saliva, salivary gland tissue, and plasma from patients with pSS and compare findings with those of patients having Sjögren-like disease (non-pSS)

Introduction. Sjögren syndrome (SjS), a systemic autoimmune disease that affects 1-23 persons per 10 000 inhabitants in European countries,1 presents with a wide spectrum of clinical manifestations and autoantibodies. Antinuclear antibodies are the most frequently detected autoantibodies, anti-Ro/SS-A the most specific, and cryoglobulins and hypocomplementaemia the main prognostic markers.2. ICD-10-CM Diagnosis Code H16.229 [convert to ICD-9-CM] Keratoconjunctivitis sicca, not specified as Sjögren's, unspecified eye. Keratoconjunct sicca, not specified as Sjogren's, unsp eye; Keratoconjunctivitis sicca (excluding sjögren syndrome); Keratoconjunctivitis sicca, not in sjogrens syndrome S jögren's syndrome (SS) is a chronic autoimmune disease that, like most autoimmune conditions, predominately affects women (9:1). Overall, it has an incidence 5.9 per 100,000 population of with symptoms generally developing in the 5th to 7th decade of life. There are two forms of the disease; it can occur either independently of other health problems - in which case the disease is.

Neurologic Complications : Johns Hopkins Sjögren's Cente

Except for the single-cell RNA sequencing analysis, all primary Sjögren's syndrome (SS) patients' data and specimens used in this study were obtained from the Sjögren's International Collaborative Clinical Alliance (SICCA) Biorepository, funded under contract #HHSN26S201300057C by the NIDCR The occult Sjögren's syndrome (non-sicca onset) Some patients with pSS may present with systemic features unrelated to involvement of the mucosal surfaces. 3 A large number of non-sicca features may appear before the development of sicca symptoms, including extraglandular manifestations involving the skin, lungs, kidneys or nervous system. To investigate and compare the burden of dry eye in Sjögren's syndrome dry eye vs non-Sjögren's syndrome dry eye, as well as investigate the diagnostic potential of tear film mucins and various inflammatory cytokines evaluated by tear fluid analysis and impression cytology

Keratoconjunctivitis Sicca - Eye Disorders - Merck Manuals

Sicca syndrome simply means dry mouth and eyes. However, that said - - everyone on this site has different degrees of illness. Some with sjogrens have dry eyes and mouth and that's it. Others have central nervous system involvement, joint pains, sleep disorders, thyroid disorders, etc. Sjogrens effects everyone differently - - some bad some not. Sjogren's or sicca syndrome (SS), is a progressive, inflammatory autoimmune disease affecting the exocrine glands. Clinical features include mucosal dryness presented as xerophthalmia (keratoconjuctivitis sicca), xerostomia, xerotrachea and vaginal dryness, major salivary gland enlargement, non-erosive polyarthritis and Raynaud's phenomenon. The symptoms are mild from dryness of mucosal. Sjögren's convictions that his sicca syndrome was closely linked to rheumatoid arthritis and was a systemic disease xxi have been confirmed by subsequent research, though its primary etiology remains uncertain. In 1986 the First International Symposium on Sjögren's Syndrome was held in Copenhagen We report the case of a 62-year-old patient suffering from a sicca syndrome for 6 years. The diagnosis of a primary Sjögren's syndrome was made according to the European American study group criteria. Her mouth examination showed a fissured, smooth and left deviated tongue without evidence of atrophy or fasciculation

Fatigue and health profile in sicca syndrome of Sjögren's

Sjögren syndrome is one of the three most common systemic autoimmune diseases.1 As many as 1 to 2 million persons in the United states are affected ; the reported prevalence is between 0.05 and 4. Patients with primary Sjögren's syndrome whose first symptoms are not mouth and eye dryness may experience more progressive and severe pulmonary manifestations during the course of their disease, a study reports.. The study, Interstitial lung disease in non-sicca onset primary Sjögren's syndrome: a large-scale case-control study, appeared in the International Journal of Rheumatic. Sjogren's, or Sjogren's disease, is a complex, serious, multisystem, inflammatory disease. Sjogren's is a connective tissue disease, belonging to the same family of diseases that include rheumatoid arthritis and systemic lupus erythematosus. Sjogren's is always systemic, and never limited to sicca (dryness). It can impact every.

Video: Sjögren syndrome DermNet N

Sjögren's Syndrome: Causes, Symptoms, Diagnosis & Treatment

Sjogren's syndrome (SS) is a chronic inflammatory disorder characterized by dry eyes and dry mouth, driven by pathogenic autoantibodies that target exocrine glands, such as the lacrimal and salivary glands. It can exist on its own (primary SS) or in conjunction with other autoimmune disorders such as rheumatoid arthritis, systemic sclerosis. Sjogren's is a chronic autoimmune disorder involving the destruction of glandular tissue. Sjögren's syndrome can cause dry mouth , skin, nose, and vaginal dryness, and may affect other organs of the body, including the kidneys, blood vessels, lungs, liver, pancreas, peripheral nervous system (distal axonal sensorimotor neuropathy), and brain Sjögren's syndrome is a chronic autoimmune disorder of the exocrine glands with associated lymphocytic infiltrates of the affected glands. Dryness of the mouth and eyes results from involvement of the salivary and lacrimal glands. The accessibility of these glands to biopsy enables study of the molecular biology of a tissue-specific autoimmune process Non-Sjögren Syndrome Dry Eye (NSDE) intrinsic lacrimal gland deficiency or infection). If lid anatomy or function is abnormal, refer. If the condition is not idiopathic, for example if Sjögren's syndrome or an unidentified underlying disease are Dry Eye Disease is also known by the medical term Keratoconjunctivitis Sicca, which.

(PDF) Assessment of fatigue and dryness in primary SjögrenOklahoma Medical Research Foundation-Led Study Reveals(PDF) The EULAR Sjögren&#39;s syndrome patient reported indexMario JIMENEZ HERNANDEZ | Nephrology, Dialysis andFactors associated with severe dry eye in primary Sjögren

Sjögren's Syndrome cohort established in Birmingham, UK (2014-2018). Par-ticipants were classified into pSS and non-SS sicca, considered as cases and non-cases, respectively, and asked to complete an optional food frequency questionnaire on their diet before on-set of symptoms. A semi-quantitative Mediterranean diet score (MDS) wa The Sjögren's syndrome diet, similar to the anti-inflammatory diet, eliminates or reduces foods known to trigger inflammation. It instead introduces foods rich in vitamins and nutrients to. Introduction. Sjögren's syndrome (SS) is an autoimmune disorder that typically leads to sicca symptoms of severe dry eyes and dry mouth, mainly in female patients with peak incidence between 45 and 55 years of age ().Sicca symptoms are believed to be less prevalent in juvenile SS (JSS) compared to adult SS patients (2-9).Recurrent parotitis in JSS is one of the main symptoms that warrants. The chronic autoimmune disorder known as Sjogren's syndrome causes reduced tear and saliva production, leading to dry eyes, nose, mouth, throat, and vagina. Many other signs help identify Sjogren. Primary Sjogren's syndrome is a rheumatic disease affecting around 0.1-0.2% of the adult female population and resulting in significant disability without adequate therapy. Diagnosis is often delayed and suggested therapies may not be optimal, and a multidisciplinary approach including rheumatologists, ophthalmologists, oral medicine physicians, and others is important to patient management