the rare case i mentioned ... n needed help ... is suffering from sjogren syndrme .... i was mislead by the reporting of alcohol n chronic alcoholism ... thanks to Curofy f riends for promptly reponsidn g pl find here with the details from Sjogren India website .............. Sjögren's syndrome What is Sjögren's syndrome? Sjögren's (pronounced SHOW-grins) syndrome (SS) is a chronic, autoimmune disease in which white blood cells attack and destroy the moisture-producing glands, causing decreased production of saliva and tears. It was first identified by a Swedish physician, Dr. Henrik Sjögren in 1933. Although the hallmark symptoms are dry eyes and dry mouth, Sjögren's syndrome also may cause dryness of other organs. It may also involve the kidneys , GI system, blood vessels, lung, liver, pancreas and the Central Nervous System. Many patients experience debilitating fatigue and joint pains. Nine out of ten patients are women. Symptoms wax and wane. Some people experience mild discomfort, other suffer debilitating symptoms that greatly impair their quality of life. When it occurs along with other primary diseases like Rheumatoid Arthritis, Lupus (SLE), or Scleroderma, it is known as secondary Sjögren's syndrome. Early diagnosis and proper treatment can prevent serious complications and greatly improve the quality of life for those with Sjögren's Syndrome. Symptoms You may have Sjögren's syndrome (SS) if you continuously experience: Dry, gritty, sore, red or burning eyes Eyes sensitive to sunlight, smoke and winds Difficulty in speaking, swallowing dry food Increased Dental decay, difficulty in wearing dentures Sore, cracked tongue, increased yeast infections Altered sense of taste and smell Swollen salivary glands Debilitating Fatigue Joint and muscles pains Dry nose Dry cough Dry skin and rashes Vaginal dryness How Sjögren's syndrome may affect you file:///C:\Users\MYPC\AppData\Local\Temp\msohtmlclip1\01\clip_image001.jpg FAQs Who is most likely to develop Sjögren's syndrome (SS)? Nine of ten (SS) patients are women. The average age of diagnosis is late 40's although it can occur in all age groups in both sexes. What are the symptoms of Sjögren's syndrome? Symptoms may include a dry, gritty or burning sensation in the eyes; difficulty in talking, chewing or swallowing; a sore or cracked tongue; dry or burning throat; a change in the sense of taste or smell; increased dental decay; joint pains; digestive problems; dry nose; dry skin & fatigue. No two people have the exact same set of symptoms. Is it easy to diagnose Sjögren's syndrome? Sjögren's syndrome is often undiagnosed or misdiagnosed. The symptoms of SS may overlap or “mimic” those of other diseases including Lupus, Rheumatoid Arthritis, Fibromyalgia, Chronic Fatigue Syndrome, and Multiple Sclerosis. Because all symptoms are not always present at the same time and Sjögren's can involve several body systems, physicians and dentists sometimes treat each symptom individually and do not recognize that a systemic disease is present. The average time from onset of symptoms to diagnosis is over five years in the USA. What kind of doctor treats Sjögren's? Rheumatologists have primary responsibility for managing Sjögren's syndrome. Ophthalmologists, dentists and other specialists are also involved in treating symptoms related to SS. How is Sjögren's syndrome diagnosed? Once Sjögren's syndrome is suspected, you may have to undergo a series of blood tests, including: ANA (Anti-Nuclear Antibody): About 70% of Sjögren's syndrome patients have elevated antibodies that react against normal components of a cell's nucleus. SS-A (or Ro) and SS-B (or La): 70% of patients are positive for SS-A and 40% positive for SS-B. RF (Rheumatoid Factor): 60-70% of patients have a positive RF. ESR (Erythrocyte Sedimentation Rate): Measures inflammation. IGs (Immunoglobulins): Normal blood proteins, usually elevated in Sjögren's syndrome. Dry Eye tests include: Schirmer's Test: Measures tears production. Rose Bengal and Lissamine Green: Dyes to observe abnormal cells on the surface of the eye. Slit-Lamp Exam for assessing the health of the cornea. Dry Mouth tests include: Parotid Gland Flow: Measures the amount of saliva produced over a certain period of time. Salivary Scintigraphy: Measures salivary gland function. Sialography: An x-ray of the salivary-duct system. Lip Biopsy: Confirms lymphocytic infiltration of the minor salivary glands. This test is often needed for a confirmed diagnosis of Sjögren's syndrome. What treatments are available? Over the counter products for relieving dry eyes and dry mouth are available. Prescription drugs are available for systemic symptoms, depending on the nature and severity of the condition. What else can be done? High quality professional dental and eye care are extremely important. Lifestyle changes and use of protective gear such as wrap around goggles help in relieving symptoms. Often, patients learn useful tips from one another in support group meetings. Will I die from Sjögren's syndrome? Although Sjögren's syndrome is a serious disease, it is generally not fatal if complications are diagnosed and treated early on. The incidence of lymphoma (cancer of the lymph glands) is believed to be higher in people with Sjögren's syndrome than in the general population.

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Thanks a lot for the detailed input sir.

Thanks Dr Vilas
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Informative & Eye Opening Post for many of us!!!

For me also
1

Nice and informative post sir

Thanks Dr Nazia
1

Nice explanation .As good as that of a textbook . Thanks .

Thanks Dr Anil
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Informative post sir

Thanks Dr Mariyam
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Thank you for information

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