The guideline is for rheumatologists, ophthalmologists, ear, nose and throat specialists, oral medicine experts and general physicians, dental practitioners, general practitioners and nurses. The Group who wrote the guideline included an expert patient, a GP and an occupational therapist with a special interest in the fatigue and sleep problems suffered by patients with Sjögren’s and other chronic inflammatory conditions.
The guideline concentrates on the issues caused by dryness - dry eyes and mouth with reference to oral candida and salivary gland enlargement. It extends into treatment of systemic disease and the management of pregnancy in affected women. Pharmacological treatments for systemic disease are extensively covered, alongside helpful guidance on treatments that are not recommended. Advice on reporting any painless glandular swelling that doesn’t settle due to the increased risk of lymphoma is promoted, as is the provision of written patient information and the details of appropriate support groups, on-line resources and graded exercise programmes for fatigue.