Sjogren's Syndrome Classification Tree - Medical Algorithm

Are you evaluating a patient for primary Sjogren's syndrome?

Yes

Does the patient have ocular symptoms of dry eyes?

Yes

Does the patient have oral symptoms of xerostomia?

Yes

Is the Schirmer and/or Rose Bengal test positive (ocular signs present)?

Yes

Is biopsy of a minor salivary gland positive for foci of mononuclear cells?

Yes

Are salivary glands enlarged?

Yes

Is saliva flow significantly reduced?

Yes

Does the patient have anti-Ro?

Yes

Does the patient have anti-La?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

End node in classification tree

Percent of patients with primary Sjogren's syndrome showing this pattern

Percent of normal control patients showing this pattern

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Imaging Studies
Laboratory Tests
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Exclusion Conditions in Diagnosis of Sjogren's Syndrome

Monitoring

Disease Progression
- Sjogren's Syndrome Disease Damage Index (SSDDI)
- Sjogren's Syndrome Disease Activity Index (SSDAI)
Comorbid Conditions
- Secondary Sjogren's Syndrome Associated with Hepatitis C Virus (HCV)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Classification Tree of Vitali et al for Primary Sjogren's Syndrome

Purpose: To use the classification tree of Vitali et al to evaluate a patient for Sjogren's syndrome.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10