How do you treat small fiber neuropathy associated with rheumatic conditions like Sjogren’s syndrome?

Have primarily followed the recommendations of Julius Birnbaum's group from Hopkins Sjogren's Center and use neuroleptics, primarily gabapentin. The main issue for Sjogren's patients with significant sicca symptoms is that many of the options we have for neuropathic pain increase dryness symptoms, so net-net often non-pharmacologic management of symptoms works best.

Birnbaum et al., PMID 30221483