Description

EULAR developed a disease activity index for primary Sjogren's syndrome called the ESSDAI. This consists of 12 subscores measuring various components of disease activity. The authors are from the European League Against Rheumatism Sjogren's Task Force.


 

Patient selection: primary Sjogren's syndrome

 

Exclude: salivary gland stone or infection

 

Parameters for glandular subscore:

(1) parotid gland swelling

(2) submandibular gland swelling

(3) lacrimal gland swelling

Parameter

Finding

Other

parotid gland

no swelling

0

 

swelling <= 3 cm

1

 

swelling > 3 cm

2

submandibular gland

no swelling

0

 

mild swelling

1

 

significant swelling

2

lacrimal gland

no swelling

0

 

mild swelling

1

 

significant swelling

2

 

subscore weighting: 2

 

subscore for glandular findings =

= MAX(points for the 3 parameters) * (weighting)

 

Interpretation:

• minimum subscore: 0

• maximum subscore: 4

 

Subscore

Disease Activity

0

no

2

low

4

moderate

 


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