Cheeks - swollen        Cough Eyes - dry
Fatigue/exhaustion Jaw - swollen Joints - pain
Lips - dry Mouth - dry Nose - dry
Salivary glands - swollen Skin - dry Taste - loss
Throat - dry Vagina - dryness  
Sjögren's syndrome, also known as Mikulicz disease or Sicca syndrome is an autoimmune disorder in which immune cells attack and destroy the exocrine (secretory) glands that produce moisture such as tears and saliva. It is a chronic, inflammatory disease that often progresses to a more complex, systemic disorder mainly affecting other organs in the body such as joints, kidneys, and intestinal tract.

Sjögren's syndrome can be classified as follow:

• Primary Sjögren's  syndrome occurs by itself and is not usually associated with other diseases.

• Secondary Sjögren's syndrome occurs associated to rheumatic diseases such as rheumatoid arthritis, systemic lupus erythematous, polymyositis, and some forms of scleredema.

Most of people with the disease have dry eyes and mouth as primary symptoms.
There is no single test that will confirm the diagnosis. Diagnosing Sjögren's syndrome is complicated by the range of symptoms involved and the similarity between symptoms from Sjögren's syndrome and those caused by other conditions. However, several tests combined can help:

- Blood tests, including anti-nuclear antibody test, rheumatoid factor, SS-A test, SS-B test, erythrocyte sedimentation rate, and immunoglobulins.

- Eye tests, in order to examine dry spots and tear production.

- Salivary gland tests.
  More information:
Sjögren’s Syndrome Treatment
Sjögren’s Syndrome Healthcare Centers

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