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ENT
Sjogren's Syndrome
Sjogren's syndrome is a chronic, inflammatory, autoimmune disorder characterized by dry mouth (xerostomia) and dry eye (keratoconjuctivitis sicca) which represent the two primary clinical features of this disorder. Two distinct forms of Sjogren's syndrome are recognized known as primary and secondary Sjogren's. Primary Sjogren's syndrome is defined as dry mouth that is not associated with another underlying autoimmune disorder, whereas, secondary Sjogren's is dry eye and dry mouth associated with an underlying autoimmune connective tissue disorder such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma.

It has been estimated that approximately 1 to 2 million Americans suffer from Sjogren's syndrome and affects women 9 times more frequently than men. Symptoms usually begin between the ages of 30 to 60 and frequently coincide with the onset of menopause. The exact cause of Sjogren's syndrome remains unknown and research is ongoing to try to elucidate the underlying physiological basis for the disorder.

Although dry mouth and dry eye are the two primary features of Sjogren's syndrome, the disorder can become systemic and affect other organ systems of the body as well. Systemic manifestations of Sjogren's syndrome may include fatigue, muscle/joint pain, dry/itchy skin, gastroesophageal reflux, peripheral neuropathy, and vaginal dryness (among others). Research has demonstrated an association between Sjogren's syndrome and the development of lymphoma.

Currently there is no know cure for Sjogren's syndrome. The objectives of treatment are to control the symptoms, prevent or limit organ involvement, and help patients improve their quality of life. Treatments for Sjogren's syndrome vary from patient to patient depending upon symptoms and which parts of the body are affected. In general, treatment is focused upon controlling the symptoms of dry mouth and dry eye using a variety of different strategies. Treatments for systemic manifestations of Sjogren's syndrome will vary depending upon which organs are involved and the severity of the symptoms.
 

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