Diagnosis Sjogren Syndrome | Medical Algorithm

Evaluation

Are you evaluating a patient for Sjogren's Syndrome?

Yes

Schirmer test result at 5 minutes

Tear fluid break-up time

seconds

Does the patient have positive Rose Bengal staining (2+ or greater)?

Yes

Is filamentary keratitis seen on biomicro-scopic examination of the cornea?

Yes

Volume of saliva collected during resting secretion

mL per minute

Volume of saliva collected during stimulated secretion

mL per minute

Number of foci with >= 50 mononuclear cells in a 4 mm square biopsy of a labial salivary gland

Did the patient have a rheumatologic disease (RA, SLE, other) prior to the onset of sicca symptoms?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of criteria for keratoconjunctivitis present

Number of criteria for xerostomia present

Does the patient have Sjogren's syndrome?

The syndrome is

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- Classification Tree of Vitali et al for Primary Sjogren's Syndrome
Imaging Studies
Laboratory Tests
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Classification Tree of Vitali et al for Primary Sjogren's Syndrome
- 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

Criteria for Sjogren's Syndrome

Purpose: To evaluate a patient for the diagnosis of Sjogren's Syndrome using the criteria of Segerberg-Konttinen et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10