Sjogren

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• aging

Symptoms

• lymphocytic sialadenitis: infiltration of salivary glands
• know term

• salivary: mouth
• lacrimal: eyes

• sicca: dryness

• armpit

• secondary to other autoimmune problems

Diagnosis

• measures tear production

• scintigraphy: nucleus tracer and see uptake of tracer by salivary gland

• can't have just symptoms because elderly can develop symptoms

Treatment

• high risks of peridontal disease without good flow

Association

• persists and bigger than in past
• marginal zone Non-Hodgekin lymphoma

• women with sjogren gets pregnant: risk of lupus
• SSA, SSB antibodies greatest risks. Can be abnormal in both sjogren and lupus

• pacemaker forever