Does a rheumatologist treat Sjogren's?

Most people with Sjögren syndrome are treated by a rheumatologist, a doctor who specializes in arthritis and other diseases of the joints, muscles and bones. However, other specialists may be consulted to help with your diagnosis and to manage complications of the disease.

What type of doctor can diagnose Sjogren's syndrome?

Rheumatologists have primary responsibility for diagnosing and managing Sjögren's and can conduct a series of tests and ask about symptoms. Your eye doctor or an oral medicine specialist also might run tests if Sjögren's is suspected.

Do Rheumatologists treat Sjogren's syndrome?

Rheumatologists at the Penn Sjögren's Syndrome Center collaborate closely with specialists in ophthalmology, oral medicine and ENT to provide a complete diagnosis and treatment program for patients suffering from Sjögren's.

Is sjogrens a rheumatic disease?

It may occur either alone or in the context of another autoimmune disease, such as rheumatoid arthritis or systemic lupus erythematosus. Sjögren's syndrome is one of the most prevalent systemic rheumatic diseases with a unique predilection for post-menopausal women.

How does a rheumatologist diagnose Sjögren's syndrome?

Blood and urine tests, to look for the presence of antibodies common in Sjögren's syndrome. The results of an ANA (antinuclear antibody) test will determine if you have an autoimmune disorder. Schirmer's test, to see if your tear glands are producing enough tears to keep your eyes moist.

A Rheumatologist Explains: Sjogren's Syndrome

What is the most accurate test for Sjogren's syndrome?

Antinuclear Antibody (ANA): The ANA test is positive in the majority of Sjögren's syndrome patients. However, a positive ANA test is also common in healthy individuals. The ANA test is most commonly performed using a technique that involves immunofluorescent staining of human cells grown in tissue culture (Figure 3).

What is the best treatment for Sjogren's syndrome?

Treat systemwide symptoms.

Hydroxychloroquine (Plaquenil), a drug designed to treat malaria, is often helpful in treating Sjogren's syndrome. Drugs that suppress the immune system, such as methotrexate (Trexall), also might be prescribed.

What mimics Sjogren's syndrome?

Certain diseases affecting salivary and lacrimal glands such as sarcoidosis, IgG4-related disease, chronic hepatitis C virus, HIV infections, and graft-versus-host disease can mimic Sjögren's syndrome, usually via a process of similar inflammation of affected glands.

What does Sjogren's pain feel like?

Your joints may be painful and swollen due to inflammation, or you might feel that various parts of your body, such as your muscles, are achy and tender. Some people with this condition have headaches and migraines.

What triggers a Sjogren's flare?

Autoimmune diseases such as Sjogren's syndrome are highly likely to be triggered by environmental factors such as pollution, infections, certain medications, diet, and allergy-causing agents. Make a note of potential environmental triggers, and try to steer clear of them as much as possible.

What happens if Sjogren's is left untreated?

Sjogren's comes with serious complications if left untreated, including: an increased risk of lymphoma and multiple myeloma. oral yeast infections. dental cavities.

Does having Sjogren's mean you are immunocompromised?

As a note – not all Sjögren's patients have compromised immune systems. This specific risk factor is for those who regularly take drugs to suppress the immune system.

Does Sjogren's show up in blood test?

In Sjögren's syndrome, the immune system produces antibodies that attack healthy areas of the body. These can be found during a blood test. But not everyone with Sjögren's syndrome has these antibodies, so you may have the condition even if a blood test does not find them.

What should I avoid with Sjogren's syndrome?

Individuals who experience severe xerostomia tend to avoid crunchy foods such as raw vegetables, dry or tough foods such as meats and breads, and sticky foods such as peanut butter. Xerostomia can also affect dental health.

What labs are abnormal with Sjogren's syndrome?

Many patients with Sjögren's have one of two specific abnormal auto-antibodies that can be detected in their blood: anti-SSA and anti-SSB, also known as “anti-Ro” and “anti-La.” Most hospitals and doctors' offices can send patients' blood for these tests.

What vitamins should I take for Sjogren's?

What does a Sjogren's tongue look like?

a smooth, red tongue. a change in how food tastes. dry, sore and cracked skin at the corners of your lips. problems such as tooth decay, gum disease, mouth ulcers, and oral thrush (a fungal infection that can cause a raw, red or white tongue)

What joints are affected by Sjogren's?

Tenderness and swelling of the joints, when present, are indicative of inflammatory arthritis. In Sjögren's syndrome, this type of arthritis usually affects the fingers, wrists and ankles. The shoulders, hips and knees may also be painful.

Can sjogrens make you feel unwell?

Sjogren's Syndrome patients often complain of mental fatigue or “brain fog.” Brain fog impairs focus, causes fuzzy concentration, and contributes to difficulty in problem-solving. Keep your stress levels low, and give your brain a workout with crosswords, puzzles, reading, adult coloring books, or online brain games.

Is Sjögren's lupus?

Sjogren's syndrome is a rare autoimmune condition that often accompanies other autoimmune conditions. Some of these include lupus or rheumatoid arthritis. It is estimated that up to 15 to 18 percent of people living with lupus also have Sjogren's syndrome.

How long does it take to diagnose Sjögren's?

The pathologist, a doctor who studies diseases in a laboratory, looks for evidence of inflammatory cells around the salivary glands that are indicative of Sjogren's syndrome. It takes about one week to get biopsy results.

Can Sjögren's turn into lupus?

Most often, the co-occurring autoimmune disease is rheumatoid arthritis. Other individuals with secondary Sjogren's may have lupus, scleroderma, primary biliary cirrhosis, or a different kind of autoimmune disease.

What does hydroxychloroquine do for sjogrens?

Hydroxychloroquine, an anti-malarial, has been widely used to treat autoimmune conditions like lupus, rheumatoid arthritis, and Sjögren's. It works to modulate the immune system, which is overly active in these disorders, and also seems to reduce lipid levels and protect against blood clots and diabetes.

Does sjogrens get worse over time?

Symptoms are mild in most people but can be very severe in others. Symptoms can vary over time and may improve, worsen, or even go away completely for periods.

Does prednisone help Sjogren's?

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen are recommended for the joint pain that may accompany Sjögren's syndrome. Low-dose steroids such as prednisone can also reduce joint pain.