Sjogren’s syndrome symptoms and treatment: a literature review

Monika Bružaitė1

1Vilnius University, Faculty of Medicine, Vilnius, Lithuania

Abstract

Background. Sjogren’s syndrome is an autoimmune rheumatic disease that affects the body’s exocrine glands. Salivary and lacrimal glands are the most affected, systemic damage to the body is also possible. The incidence is 3.5-13.1 cases per 100,000 population. People of any age can suffer from this disease and symptoms usually appear in people between the ages of 45 and 55. Sjogren’s syndrome usually affects several organ systems, so the symptoms can be very diverse and significantly impair the quality of life.

Aim: to review the scientific literature on the symptoms, treatment and burden of Sjogren’s syndrome.

Methodology. Publications were searched in English using „PubMed” database. There were selected publications discussing Sjogren’s syndrome symptoms and treatment options, which were published during 2017-2022. After reviewing all the inclusion and exclusion criteria, 27 scientific articles were included in this literature review.

Results. Sjogren’s syndrome is a chronic autoimmune rheumatic disease associated with a high patient burden. Patients with Sjogren’s syndrome experience higher dental costs, are more likely to experience dental caries, mouth ulcers and halitosis. The most troublesome symptom for patients is dry eyes. Patients with Sjogren’s syndrome may experience peripheral neuropathy and central nervous system disease. The disease can also be manifested by cough, shortness of breath and inflammation of the upper respiratory tract. There is currently no cure for Sjogren’s syndrome, so treatment aims to reduce distressing symptoms and improve quality of life.

Conclusions. Sjogren’s syndrome can affect various organ systems. The most common symptoms are damaged eyes, mouth and dryness of the mucous membranes. The quality of life of the sick is considered to be particularly poor. The choice of treatment for Sjogren’s syndrome has not fundamentally changed in recent years – the decision is determined by the patient’s co-morbidities, the manifestation of symptoms, as well as the severity of damage to internal organs.

Keywords: Sjogren’s, Sjogren’s syndrome, xerostomia, keratoconjuctyvitis sicca.

Full article

https://doi.org/10.53453/ms.2023.2.12

Sjogren’s syndrome symptoms and treatment: a literature review
Monika Bružaitė
1
1
Vilnius University, Faculty of Medicine, Vilnius, Lithuania
Abstract
Background

   !!!!!"
#$
%
Aim&#'
Methodology"#()"*+#
'##,! -,!,,.
#,-##
Results#
"#/
"#

            
%
Conclusions. 
%/

#

Keywords&''/
Journal of Medical Sciences. 22 Feb, 2023 - Volume 11 | Issue 2. Electronic - ISSN: 2345-0592
Medical Sciences 2023 Vol. 11 (2), p. 98-104, https://doi.org/10.53453/ms.2023.2.12
98
Sjogreno sindromo klinika ir gydymo būdai: literatūros apžvalga
Monika Bružaitė
1
1
Vilniaus Universitetas, Medicinos fakultetas, Vilnius, Lietuva
Santrauka
Įvadas. 00/1122//
  3 !!4!!!35//110
16/$/3111/3
0786///9
Tikslas&1/97:6://::
Metodologija */3 /3 6/  / 3 / )"*; 3 20
.2,! -,!,,//0/6/
</38//61,-
Rezultatai 003=6"
613/
2>?/3
/6003>/6/
63/0/31 5060/
1=//9
Išvados    1 8 3  @1   /3  
13=33//0/=
/60/0:03
6/31/
Raktažodžiai:////
Journal of Medical Sciences. 22 Feb, 2023 - Volume 11 | Issue 2. Electronic - ISSN: 2345-0592
99
1. Įvadas
6//0
18 0 0  1
6/    AB& C A ?C
  3
!!4!!!3A$C5//
11016/
  $ /  3 *1 0
3      
/    21
/ AC   73
 2/0 / / /
/3/ A C>16/
/3  A ///C 
 A/C /3 633 
2/0 /  ADC 
  7 01 /  
 /     6/
/  /  / 0
0  A-C 5  
//18
=
3. Metodologija
5 7 1  / /
/3 6/: )"*; 3 20
"6/8/113&
) ; A E C
FG ); A C FG );
AC
./ / /  
8//&63/
/,! -,!,, 9

*/0/
6 /& / / 8 /=
: /8  /3 /
/
"0 3/3// /3
/ 0 / / /=
/33/<
/ 6 1   ,-
/0/
2. Ligos našta
0000
3=6 AHC
"/3 3   / 
    /:  :
//9 /   
   ABC  
    
6   / /0
0 21  1 6/
ABC513/
/0100/0/
 / A !C    
//9
  // A C ./ 
0     9 /3
/
 6/ A ,C I 20
6 /  / 2
  1  6 
/3A C
3. Klinika
Akių pažeidimas
./3  1  
6//3 8/
:60:078//:
G   6/  
Journal of Medical Sciences. 22 Feb, 2023 - Volume 11 | Issue 2. Electronic - ISSN: 2345-0592
100
62A ! C
J     / 
::/:/0/:8
:4A DC
Burnos pažeidimas
@  BBK 3 =3 
17
/: 9 68 : 03
/31/63/3/:/
/ 11 :  0 
0137/
//0/
6/3A -C":
://
: 2
/ 1 87/  0
 A $C   0 3 0 
/202/A -C
Neurologiniai simptomai
"06/
786//
8,/&0
3ALIC
LI6/1
1 609 /29 = 7/
:8:03
0 /   1 
  " LI 1
2
0 / / /
2A HC
Kvėpavimo sistemos ligos
M1
=3 3  /6/
6/333./=
/ /    $ / !K A BC
763
/0/31A BC
@1 =3    
 /0 /3  0
=3  AF">C F0 =3 
  D-BK A H BC ./
F">7/0
6/1
9   / N  
0  F"> 6/ /
/ !/ K3F">60
/ /  /  
6/A, C
Muskuloskeletiniai ir kiti sisteminiai požymiai
    /6 
  G0  66/
   1  G
 /6= 09 
6 // / 0
=3/
/3 /03 20  
0     1
O0=06:037
  3 /0 : ?
0: 8 /9 :: /9
A,,C
4. Gydymas
506/
18/
1  6 //3 
//9A -C
./3 1/
03 7 0 6 / 
61 /3 6 I 0
Journal of Medical Sciences. 22 Feb, 2023 - Volume 11 | Issue 2. Electronic - ISSN: 2345-0592
101
6= /2
/  =   
///6/3
:A,C
P // / 
3   / /=
 /  3 6/:
//
./3=3///
376376
3/3/0/0
/01:00
 A ,C   8 /
/ /  3 /:
=7/0/
/=A C
I/O.N//0
// 0 / 1
//  / 
/  0  /
//:/
:A:///C
   0 / 
:3 /   
4A,$C
I  / / 83 / 3
3 /3 /  
20     66/
0  6  
6  / 0  
/ F 
8/ : 2:  /:
/8/8/
/
"73/3=3L@$!/
A/C  J : /= /
3AC32
/0/6108
/:/A,,DC
5/
7
< / / /  /
  / / 
73// 63 
3/:3 A,C*
0   / /
/0A,-C
5. Išvados
000/
 1 8 3  @1
/313
 =33  //0 /
=/
60/0:
  0  3
6/    3 1
/
Literatūros šaltiniai
FIQ'JO
R*A>C,! -.,S-HAHC&$H?$,
, /.>/L"T@
J UG @Q   @ 
Q'@.2F
,! -*,DS $A,!C&$?D 
 * V L# >. " Q'
I(O*,! H*HS-HA !C&B ?
B
$ F2"*J O" W FJR*
   O(    F 
"."Q'
I#X/ L . L G AR/C
,! BOS- A-C&B$B?D!
Journal of Medical Sciences. 22 Feb, 2023 - Volume 11 | Issue 2. Electronic - ISSN: 2345-0592
102
 L("JLF&
"YFZFA[>C&"
"S,!,,
D OGJ/M.O*N@
I / M L   Q'
4/(
O\,! H\S ,D &-?$H
- I  ( U U * J *
[*UQ'&
L(*,!,,
[S,,A C&B?,
H U M M L . " R/ J
J#
 Q'   
 G A\C ,!,! I
$SD!A$C& H- ?H 
B N [J ' & L
LF,! -S H,&$H?$
! *] N L U G F ^ .
"LJR\#
,!,!&     
Q'L( G
,!,!.SH ,DA$C& !?,,
*LJL*FOJNX
.// (M */ *.   IQ'
[ & J  \  
F_>OG,!,
OS$HA-C& !,B?D
, FOJNX*L*/*
J .I .// (M \ * 
JGQ&G
".O\,!,!IS, B&$!?
H
 *MJ@@
//>FMU@@@"Q'
  L @ L N
",!,!S HAC&$$-?$
$ J.IWJQ\
L \.G @L
I.,! H.S$$AC&$ B?D
 L U L L. \@ >
*L \ * [ [   \  
# ,! B& Q'  L (
G,! BOS- HAC&? 
D .//(MJNXFOQ'
&*O@(L,! B
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