Middle-aged woman with dry mouth, dry eyes, parotitis and dental cavities, consistent with Sjogren syndrome (although classically associated with anti-SSA/SSB, patients are also commonly ANA positive)
Sjogren syndrome:ย Onset in middle age, positive ANA, and often systemic manifestations (malaise, weight loss, joint pains, etc.)
Age-related sicca syndrome:ย Onset in elderly patient, especially women with diabetes or thyroid disorders, no systemic symptoms
submitted by โstep_prep(148)
https://step-prep.org