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Rheumatology 2001; 40: 1085-1088
© 2001 British Society for Rheumatology
Editorials |
Outcome measures in Sjögren's syndrome
Clinic for Orthopaedic Medicine and Rehabilitation, Rigshospitalet, Copenhagen University Hospital 9 Blegdamsvej, DK-2100 Copenhangen, Denmark and
1 Rheumatology Departments University of Birmingham and Birmingham Heartland Hospital, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
Sjögren's syndrome (SS) is a systemic autoimmune disorder characterized by chronic focal lymphocytic inflammation of exocrine tissues leading to glandular dysfunction, in particular the diagnostic features of dry eyes and dry mouth [1]. SS may exist as a primary disorder or can be associated with other autoimmune diseases, such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and progressive systemic sclerosis. The key clinical manifestations of SS are derived from the ocular and oral components as well as from musculoskeletal involvement and fatigue. The systemic component of SS relates to B-cell hyperactivity and disease manifestations from internal organs, the integument and the nervous and haematopoietic systems. Apart from a significantly increased incidence of malignant lymphomas in these patients, systemic features are in general mild or subclinical as opposed to the prominent sicca features [2].
SS is regarded as a chronic, albeit treatable, disease. Although curative therapy
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