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Topics:
Rheumatology
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Sjogren’s syndrome
Do you use hydroxychloroquine for patients with asymptomatic primary Sjogren syndrome to treat hypergammaglobulinemia without other concerning features?
Related Questions
Do you always perform salivary gland biopsy to confirm the diagnosis In patients with suspected seronegative Sjogren's syndrome?
In a patient with sicca symptoms and SS-B antibodies only, can a minor salivary gland lip biopsy with lymphoid aggregates, but also scattered areas of acute neutrophilic inflammation be consistent with Sjogren's Disease?
How do you counsel a patient with Sjogren's and extremely dry mouth who is losing their ability to taste food?
Do you consider immunosuppression in patients with a history of Sjogren's disease and clinical features of inclusion body myositis?
Would you modify your treatment approach for treating an HPV-positive head and neck cancer in a patient with symptomatic Sjogren's?
Are there clinical, laboratory, or imaging features that can help distinguish primary Sjögren’s syndrome from secondary Sjögren’s in patients with overlapping inflammatory arthritis or positive rheumatoid factor?
How long are cholinergic agonists such as pilocarpine required to be held before doing tear assessments (ocular scoring and Schirmer’s) and sialography/salivary collection?
In patients with sicca symptoms and positive SSA/SSB how often do you perform other diagnostic testing such as salivary gland ultrasound, biopsy, Shirmers, ocular staining, stimulated salivary flow, etc?
What is your initial treatment paradigm for someone with both CNS and peripheral neurologic Sjogren’s?
What is your approach to long term lab monitoring for Sjogren's disease activity?
