Sjogrens Syndrome (Salivary Gland Disease)
Description
Antibodies are made against one’s own body (autoimmune disease). It is the second most common autoimmune disorder and can be associated with other autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus, scleroderma, polymyositis). The disease attacks the lacrimal and salivary glands causing dry eyes and mouth. The syndrome occurs most often in women age 40 - 50.
Symptoms
Dryness of the mouth, dry eyes, itching eyes, difficulty swallowing, loss of sense of taste, severe dental cavities, hoarseness, fatigue, joint pain, joint swelling, swollen glands.
Tests
A history and physical exam will be performed. Tests used to establish the diagnosis include: antinuclear antibodies (ANA) test, salivary gland biopsy, rheumatoid factor (possible), tear test, and/or slit lamp examination with rose bengal dye.
Treatment
The goal of therapy is to relieve symptoms. Treatment includes: artificial tears, eye-lubricating ointments, sipping water throughout the day, chewing sugarless gum, medicine that increases the flow of saliva, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) and physical therapy.
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