Criteria for Sjogren's Syndrome (Copenhagen Criteria)

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

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Evaluation

Are you evaluating a patient for the diagnosis of Sjogren's Syndrome?

Yes

Schirmer test result

mm in 5 minutes

Tear break up time

seconds

Rose Bengal score (enter from 0 to 9)

out of 9

Unstimulated saliva flow

mL at 15 minutes

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

Is salivary gland scintigraphy abnormal?

Yes

Does the patient has a preceding chronic inflammatory connective tissue disease (RA, SLE, scleroderma, other)?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of features of keratoconjunctivitis sicca (KCS) present

Number of features of xerostomia present

Does the patient meet the criteria for Sjogren's syndrome?

The Sjogren's 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)

Specialty

Immunology/Rheumatology

Objective

imaging studies
laboratory tests
criteria for diagnosis

ICD-10

M35.0 - Sicca syndrome [Sjogren]

Info

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

Specialty: Immunology/Rheumatology

Objective: imaging studies, laboratory tests, criteria for diagnosis

ICD-10: M35.0,

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