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Sjögren's Syndrome: an Update on Diagnostic, Clinical, and Basic Aspects for Oral Medicine Specialists

  • Lee, Kyung-Eun (Department of Oral Medicine, School of Dentistry, Institute of Oral Bioscience, Chonbuk National University)
  • Received : 2018.11.30
  • Accepted : 2018.12.24
  • Published : 2018.12.30

Abstract

$Sj{\ddot{o}}gren^{\prime}s$ syndrome (SjS) is a common autoimmune disorder characterized by lymphocytic infiltration in the salivary and lacrimal glands, resulting in severe dry mouth or eyes. As a result, most of SjS patients suffer from oral dryness and can visit the department of oral medicine with or without diagnosis of SjS. Therefore, oral medicine specialists should know clues, which may indicate the diagnosis of SjS from the clinical and laboratory investigations. By the recent SjS criteria, SjS can be diagnosed by focus score, ocular staining, Schirmer's test, unstimulated whole saliva flow rate, and anti-SSA/Ro antibodies. The aim of this article is to review the diagnostic criteria, clinical investigation, and basic aspect related to SjS and to make oral medicine specialists play an important role in the detection of emerging SjS.

Keywords

Table 1. The 2002 revised American-European Consensus Group Classification Criteria for Sjögren's syndrome12)

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Table 2. The 2012 American College of Rheumatology Classification Criteria for Sjögren's syndrome15)

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Table 3. The 2016 American College of Rheumatology/European League against Rheumatism Classification Criteria for SjS17)

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Table 4. The guidelines of the University of Southern California School of Dentistry for Unstimulated and stimulated whole saliva collection19)

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