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{{Sjögren's syndrome}}
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==Overview==
==Overview==
The symptoms of Sjögren's syndrome usually develop in the 4th and 5th decade of life, and start with symptoms such as [[ocular]] and [[oral]] dryness. Common complications of Sjögren's syndrome include [[blurred vision]] and [[corneal]] damage, [[optic neuritis]] and [[lymphoma]]. [[Prognosis]] is generally good and presence of low [[complement]] level is associated with a particularly poor [[prognosis]] among patients with Sjögren's syndrome.
==Natural History==
==Natural History==
===Natural History===
===Natural History===
*The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.  
*The symptoms of Sjögren's syndrome usually develop in the 4th and 5th decade of life, and start with symptoms such as [[ocular]] and [[oral]] dryness.<ref name="pmid11920410">{{cite journal |vauthors=Ioannidis JP, Vassiliou VA, Moutsopoulos HM |title=Long-term risk of mortality and lymphoproliferative disease and predictive classification of primary Sjögren's syndrome |journal=Arthritis Rheum. |volume=46 |issue=3 |pages=741–7 |date=March 2002 |pmid=11920410 |doi=10.1002/art.10221 |url=}}</ref>
*The symptoms of (disease name) typically develop ___ years after exposure to ___.  
*If left untreated, 4.3% of patients with Sjögren's syndrome may progress to develop [[non-Hodgkin lymphoma]].
*If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].


===Complications===
===Complications===
*Common complications of Sjögren's syndrome include:
*Common complications of Sjögren's syndrome include:<ref name="pmid10446879">{{cite journal |vauthors=Voulgarelis M, Dafni UG, Isenberg DA, Moutsopoulos HM |title=Malignant lymphoma in primary Sjögren's syndrome: a multicenter, retrospective, clinical study by the European Concerted Action on Sjögren's Syndrome |journal=Arthritis Rheum. |volume=42 |issue=8 |pages=1765–72 |date=August 1999 |pmid=10446879 |doi=10.1002/1529-0131(199908)42:8<1765::AID-ANR28>3.0.CO;2-V |url=}}</ref><ref name="pmid12169883">{{cite journal |vauthors=Ramos-Casals M, Font J, Garcia-Carrasco M, Brito MP, Rosas J, Calvo-Alen J, Pallares L, Cervera R, Ingelmo M |title=Primary Sjögren syndrome: hematologic patterns of disease expression |journal=Medicine (Baltimore) |volume=81 |issue=4 |pages=281–92 |date=July 2002 |pmid=12169883 |doi= |url=}}</ref><ref name="pmid15028963">{{cite journal |vauthors=Ramos-Casals M, Anaya JM, García-Carrasco M, Rosas J, Bové A, Claver G, Diaz LA, Herrero C, Font J |title=Cutaneous vasculitis in primary Sjögren syndrome: classification and clinical significance of 52 patients |journal=Medicine (Baltimore) |volume=83 |issue=2 |pages=96–106 |date=March 2004 |pmid=15028963 |doi= |url=}}</ref>
**Dental cavities
**[[Dental cavities]]
**Yeast infections
**[[Yeast]] [[infections]]
**Blurred vision and corneal damage
**[[Blurred vision]] and [[corneal]] damage
**Pneumonia
**[[Pneumonia]]
**Bronchitis
**[[Bronchitis]]
**Lymphoma
**[[Lymphoma]]
**peripheral neuropathy
**[[Peripheral neuropathy]]
**Myelitis  
**[[Myelitis]]
**Optic neuritis
**[[Optic neuritis]]


===Prognosis===
===Prognosis===
*Prognosis is generally good.
*Prognosis is generally good and presence of low [[complement]] level is associated with a particularly poor [[prognosis]] among patients with Sjögren's syndrome.<ref name="pmid15381790">{{cite journal |vauthors=Ramos-Casals M, Brito-Zerón P, Yagüe J, Akasbi M, Bautista R, Ruano M, Claver G, Gil V, Font J |title=Hypocomplementaemia as an immunological marker of morbidity and mortality in patients with primary Sjogren's syndrome |journal=Rheumatology (Oxford) |volume=44 |issue=1 |pages=89–94 |date=January 2005 |pmid=15381790 |doi=10.1093/rheumatology/keh407 |url=}}</ref>
*The presence of low complement level is associated with a particularly [poor] prognosis among patients with Sjögren's syndrome.<ref name="pmid15381790">{{cite journal |vauthors=Ramos-Casals M, Brito-Zerón P, Yagüe J, Akasbi M, Bautista R, Ruano M, Claver G, Gil V, Font J |title=Hypocomplementaemia as an immunological marker of morbidity and mortality in patients with primary Sjogren's syndrome |journal=Rheumatology (Oxford) |volume=44 |issue=1 |pages=89–94 |date=January 2005 |pmid=15381790 |doi=10.1093/rheumatology/keh407 |url=}}</ref>
*Primary Sjögren syndrome is associated with lower [[cardiovascular]] risk factors and lower risk of [[cardiovascular]] complications such as myocardial infarction and stroke, in comparison with [[SLE]].<ref name="pmid28080954">{{cite journal |vauthors=Gupta S, Gupta N |title=Sjögren Syndrome and Pregnancy: A Literature Review |journal=Perm J |volume=21 |issue= |pages= |date=2017 |pmid=28080954 |pmc=5267941 |doi=10.7812/TPP/16-047 |url=}}</ref>
*Primary Sjögren syndrome is associated with lower cardiovascular risk factors complication such as myocardial infraction and stroke.<ref name="pmid28080954">{{cite journal |vauthors=Gupta S, Gupta N |title=Sjögren Syndrome and Pregnancy: A Literature Review |journal=Perm J |volume=21 |issue= |pages= |date=2017 |pmid=28080954 |pmc=5267941 |doi=10.7812/TPP/16-047 |url=}}</ref>
 
==Complications==
 
==Prognosis==


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WH}}
[[Category:Medicine]]
{{WS}}
 
[[Category:Immunology]]
[[Category:Immunology]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]
[[Category:Up-To-Date]]

Latest revision as of 00:12, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

The symptoms of Sjögren's syndrome usually develop in the 4th and 5th decade of life, and start with symptoms such as ocular and oral dryness. Common complications of Sjögren's syndrome include blurred vision and corneal damage, optic neuritis and lymphoma. Prognosis is generally good and presence of low complement level is associated with a particularly poor prognosis among patients with Sjögren's syndrome.

Natural History

Natural History

  • The symptoms of Sjögren's syndrome usually develop in the 4th and 5th decade of life, and start with symptoms such as ocular and oral dryness.[1]
  • If left untreated, 4.3% of patients with Sjögren's syndrome may progress to develop non-Hodgkin lymphoma.

Complications

Prognosis

  • Prognosis is generally good and presence of low complement level is associated with a particularly poor prognosis among patients with Sjögren's syndrome.[5]
  • Primary Sjögren syndrome is associated with lower cardiovascular risk factors and lower risk of cardiovascular complications such as myocardial infarction and stroke, in comparison with SLE.[6]

References

  1. Ioannidis JP, Vassiliou VA, Moutsopoulos HM (March 2002). "Long-term risk of mortality and lymphoproliferative disease and predictive classification of primary Sjögren's syndrome". Arthritis Rheum. 46 (3): 741–7. doi:10.1002/art.10221. PMID 11920410.
  2. Voulgarelis M, Dafni UG, Isenberg DA, Moutsopoulos HM (August 1999). "Malignant lymphoma in primary Sjögren's syndrome: a multicenter, retrospective, clinical study by the European Concerted Action on Sjögren's Syndrome". Arthritis Rheum. 42 (8): 1765–72. doi:10.1002/1529-0131(199908)42:8<1765::AID-ANR28>3.0.CO;2-V. PMID 10446879.
  3. Ramos-Casals M, Font J, Garcia-Carrasco M, Brito MP, Rosas J, Calvo-Alen J, Pallares L, Cervera R, Ingelmo M (July 2002). "Primary Sjögren syndrome: hematologic patterns of disease expression". Medicine (Baltimore). 81 (4): 281–92. PMID 12169883.
  4. Ramos-Casals M, Anaya JM, García-Carrasco M, Rosas J, Bové A, Claver G, Diaz LA, Herrero C, Font J (March 2004). "Cutaneous vasculitis in primary Sjögren syndrome: classification and clinical significance of 52 patients". Medicine (Baltimore). 83 (2): 96–106. PMID 15028963.
  5. Ramos-Casals M, Brito-Zerón P, Yagüe J, Akasbi M, Bautista R, Ruano M, Claver G, Gil V, Font J (January 2005). "Hypocomplementaemia as an immunological marker of morbidity and mortality in patients with primary Sjogren's syndrome". Rheumatology (Oxford). 44 (1): 89–94. doi:10.1093/rheumatology/keh407. PMID 15381790.
  6. Gupta S, Gupta N (2017). "Sjögren Syndrome and Pregnancy: A Literature Review". Perm J. 21. doi:10.7812/TPP/16-047. PMC 5267941. PMID 28080954.