Sjogren Syndrome Disease Criteria | Medical Algorithm

Are you evaluating a patient for Sjogren's syndrome?

Yes

Does the patient have signs and symptoms suggestive of Sjogren's syndrome?

Yes

Does the patient have a positive titer for serum anti-SSA/Ro?

Yes

Does the patient have a positive titer for serum anti-SSB/La?

Yes

Is the patient's serum positive for rheumatoid factor?

Yes

Is the serum ANA titer >= 1:320?

Yes

Number of foci of lymphocytic sialadenitis in a labial salivary gland biopsy

foci

Area of the salivary gland biopsy

square mm

Does the patient have symptoms of keratoconjunctivitis sicca?

Yes

Ocular staining score (from 0 to 6)

Does the patient use daily eye drops for glaucoma?

Yes

Does the patient have a history of corneal surgery in the past 5 years?

Yes

Does the patient have a history of cosmetic eyelid surgery in the past 5 years?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of criteria fulfilled

Does the patient meet the criteria for 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

SICCA Criteria for Sjogren’s Syndrome

Purpose: To diagnose Sjogren's syndrome in a patient using the criteria of the SICCA research groups.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10