How do you ensure that fibromyalgia is appropriately recognized in patients with Sjogrens?

I like Dr. Pisetsky et al's recent recommendation of naming this "nociplastic pain" rather than fibromyalgia. They were specifically talking about "lupus-associated nociplastic pain", but after reading their article, it should also apply to Sjogren's disease.

I'd encourage everyone to read their very...

Fibromyalgia occurs in 10-30% of patients with every systemic rheumatic disease and may be slightly higher in Sjogren's. In Sjogren's as in other systemic rheumatic diseases, the presence of co-morbid fibromyalgia correlates with fatigue, myalgias and arthralgias and high self-administered disease a...

The better question is: is it positive labs and fibromyalgia, or actually Sjögren’s disease? This is why a salivary lip biopsy is key. Positive labs alone aren’t enough to diagnose Sjögren’s!