Sicca Syndrome Diagnosis | Medical Algorithm

Are you evaluating a patient for Sjogren's Syndrome?

Yes

Does the patient have a history of rheumatoid arthritis or other autoimmune rheumatic disease?

Yes

Has the patient had recurrent parotid gland enlargement?

Yes

Does the patient have subjective xerostomia?

Yes

Does the patient have subjective xerophthalmia?

Yes

Is Rose-Begal staining positive?

Yes

Histologic grade of biopsy from minor salivary glands (enter from 0 to 4)

plus

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Does the patient have primary Sjogren's Syndrome?

Does the patient have secondary Sjogren's Syndrome?

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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 (Greek Criteria)

Purpose: To evaluate a patient for the diagnosis of Sjogren's syndrome using the criteria of Skopouli et al (Greek criteria).

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10