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Pathology

Systemic autoimmune disease that causes destruction of exocrine glands

Aetiology

Primary or secondary in other autoimmune rheumatic 

Signs

Xeroderma (dry skin), angular stomatitis, eye redness
Schirmer’s Test - Poor tear production.

Symptoms

Dry eyes, dry/sore mouth, mild polyarthritis, malaise

Investigations

Bloods: Raised ESR, Rheumatoid Factor Positive, Positive anti-Ro/La 

Treatment

Conservative: Artificial tears and saliva

Prognosis

Generally good
Pancreatitis, interstitial nephritis, renal tubular acidosis, glomerulonephritis, B-cell lymphomas

Key Facts

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Key References

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