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KMID : 1101020210460020054
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Journal of Oral Medicine and Pain
2021 Volume.46 No. 2 p.54 ~ p.62
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A Case Report of Primary Sjogren’s Syndrome Presenting Oral Mucosal Pain
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Lee Ji-Young
Byun Jin-Seok
Jung Jae-Kwang
Choi Jae-Kap
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Abstract
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Sjogren’s syndrome (SS) is an autoimmune rheumatic disease characterized by the presence of lymphocytic infiltration of exocrine glands and other organs. Due to the rarity of SS, it is frequently overlooked by dentists as a cause of xerostomia. Clinicians should be aware that patients may have oral complications from SS including oral mucosal pain caused by frictional damage. Use of the latest diagnostic criteria approved by the American College of Rheumatology/European League against Rheumatism in 2016 for SS diagnosis provides the advantage of early identification of patients who have not yet developed dry mouth symptoms. A case of primary SS with the chief complaint of oral mucosal pain caused by mucosal damage associated with dry mouth is presented here. This case represents the importance of recognizing oral complications of xerostomia caused by SS, and illustrates use of the latest diagnostic criteria to diagnose the suspected symptoms by dental clinicians, who typically might be the first medical professional to encounter these symptoms.
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KEYWORD
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Diagnostic criteria, Oral complications, Sjogren’s syndr
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