Sjogren's Syndrome

Hi,

I am new on here, so I am not sure how this goes... I just came home from my rheumatologist "he's a new doc for me" I was diagnosed approximately 3 years ago as having Sjogren's but also possible other non specified autoimmune diseases. I have all of the symptoms of Sjogren's but also Lupus (Lupus does not show in my tests) I saw a new doctor today & he tells me that he believes that I do not have Sjogren's but Sicca (I looked up Sicca & it says it's Sjogren's) it has shown off & on in my blood work that I do have Sjogren's. I am having a lot of problems, no saliva, no tears, bad skin, problems with all my organs, cataracts (had them for 4yrs, I am 48) the list goes on & on. My doctor is not taking anything seriously, but I am getting sicker & sicker. I'm not sure what to do.... anyone that could give me advice, I would gladly appreciate...

Brenwag68,

I would look for a new doctor. You can be seronegative (not positive in your bloodwork) and still have Sjogren's (up to 30%) of folks test negative for SS.  In any event it is treated the same. If your current doc won't treat you with Evoxac, Salagen or Plaquenil, find another doc who will treat your symptoms regardless of what the bloodwork says. It is frustrating.

Good Luck!

SjoDry

 

I too recommend a new specialist. I had to move because they wouldn't take my symptoms seriously. Are you in the uk? Of so what region?

Greeting, My bloodwork showed Sjogrens high and auto immune pancreatitis.  I was just diagnosed last August for Sjogrens and last week for the auto immune pancreatitis.  Spent from March to August losing my vision and legs swollen all the time.  Finally, the right doctor did the right bloodwork.  Weird that your blood work shows on and off with Sjogrens.  Makes me question if each blood work test you do, provider requests a Auto Immune panel.  If they don't that may be the reason you don't see it and when they do request it, you do.  Sicca is another name for Sjrogrens and if the Rheumatologist you just went to today doesn't know that, then he is an idiot.  Find someone else asap. We all have  alot of the same symptoms and on the same meds but you need to find a better specialist. 

Thank you so much... sometimes I feel I'm going crazy... I'm sick all the time. I'm weak, exhausted... I am taking pilocarpine but that is it. I was taking plaquenil but I didn't notice any change so the doctor took me off from it... Today was a new doctor, I never saw him before. I didn't like him from the start... I am having so many problems with my eyes, ears, mouth, nose, I am having problems going to the bathroom, I have pain in my organs & lymph nodes. It just goes on & on. So often I feel like I am dying... just not sure where to find a good doctor... I thank you.

Thank you... I live in NY, USA.... its so hard to find good doctors...

Sicca is just the name they give for Sjögren's that doesn't show up in your blood work or by lip biopsy. The only advantage I have found for having a confirmed diagnosis now is that my doctors, optician and oral consultant at least know that I have a connective tissue disease and I am on an immuesuppressant now - but many aren't and, to be honest I'm not sure it is doing much as all the upper dryness is flaring and my Raynauds and other stuff is too. There are no real treatments for Sjögren's - just sticking plasters. We need more sufferers to be properly diagnosed in order for more trials and research to be done.

If you can get to NJ..Dr. Frederick Brandt is my doc and he has offices in North Bergen, Jersey City and Secaucus

thank you... I know, I looked up Sicca & it said Sjogren's... it is so frustrating... I also have all the symptoms of Lupus too... I have been diagnosed with Raynauds, Neuropathy, Barrett's esophagus, I have migraines. I get infections all the time, eye problems... it's just never ending... thank you

Also join the Sjogrens Foundation.  They are full of knowledge about SSI, Clinical trials, Walks..etc. 

Thank you... my lip biopsy came back inconclusive because of the severe dryness & amount of scar tissue. The skin inside my mouth peels right off...

Oh thank you... I will definitely give this some thought... I need to do something... I was so depressed when I came home, I thought this time I would get some answers, but all of you & your kind works is really helping me a lot. Thank you

Oops, words 🙃

Ugh that sounds awful. My sicca isn't that bad - just dry eyes and back of mouth/ throat and nose. But my Raynauds is bad and I was originally misdiagnosed with RA - often have long spells of feeling generally rubbish. My lip biopsy was 100% positive and I'm glad this gives me a formal diagnosis and clarity but not much else.

Oh sorry. I know uk better. I know of a very good specialist in Behcet's (which I have....very similar). They usually treat other forms of vasculitis. His name is Dr Yaclzici. He is a rheumatologist. Wonder if he would be good on Sjogten's. But the vasculitis foundation in the US should be able to suggest someone good.

My raynauds & neuropathy is real bad too... I use a cane to walk most of the time, I am 48 years old (but I'm real small & look much younger) but I feel 100 years old... my left side goes completely numb so I fall down & I have syncope seizures as well...

thank you so much... I would love to travel to the U.K., my husband & I would like to one day... I have family there somewhere 😊 

It sounds to me as if you need to find a neurologist who is good then. Seronegative Sjögren's is more closely linked with neuro symptoms and Vasculitis I'm told on good authority. So a good neurologist may know more than a big standard rheumatologist. I realise the USA is huge but I know that the John Hopkins have very good Sjögren's experts. I live in Scotland so can't help you I'm afraid.

I meant bog standard!

Thank you... I do have a neurologist but he said that I needed the rheumatologist & the rheumatologist said I need a neurologist.. it feels like neither one knows, either what to do or doesn't want to bother so they try to pawn me off on each other. Every time I asked my doctor today, he just said I don't know. So what am I paying him for!?! FRUSTRATING!!! My original doctor sent my labs to John Hopkins, that is where they felt it was Sjogren's, but it does show other unspecified auto diseases...