Criteria for Sjogren's Syndrome

 

Criteria for Sjogren's Syndrome - both of the following

(1) keratoconjunctivitis

(2) xerostomia

 

Criteria for keratoconjunctivitis - 3 or 4 of the following:

(1) Schirmer test < 10 mm in 5 minutes

(2) tear fluid break-up time < 30 seconds

(3) positive Rose Bengal staining (in other classification groups this is >= 2+)

(4) filamentary keratitis on biomicroscopic examination of the cornea

 

Criteria for xerostomia - both of the following:

(1) one or both of the following:

(1a) sialometry with < 0.1 mL per minute for resting secretion

(1b) sialometry with < 0.7 mL per minute for stimulated secretion

(2) labial salivary gland biopsy with 2 or more foci (>= 50 lymphocytes and monocytes) in 4 square mm of glandular tissue

Preceding Rheumatologic Disease	Classification
present	secondary
absent	primary