Sjogrens Syndrome Flashcards Preview

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Flashcards in Sjogrens Syndrome Deck (16):
1

Causes of a dry mouth?

psychogenic - depression, anxiety, hypochondriasis
drugs
radiotherapy
dehydration
sarcoidosis
HIV
sjogrens

2

what is sjogrens?

autoimmune chronic inflammation of tear and salivary ducts. Primary and Secondary

3

what is secondary sjogrens associated with?

rheumatoid arthritis, SLE, PBC, MCTD

4

EU-USA diagnosis criteria?

require serological markers or positive labial gland biopsy

5

features and symptoms of sjogrens?

dry mouth, dry eyes, erythematous/lubulated tongue, oral discomfort, hard to talk, swallow, salivary gland swelling, poor denture retention, altered taste, susceptible to infection, increased incidence of lymphoma

6

new treatments for sjogrens?

pilocaipine - orally 5mg up to 3 times/day
acupuncture

7

types of artificial saliva?

orthana - spray
bioextra - gel
glandosane - spray
lubrant - carbomethylcellulose
salinum - based on linseed oil

8

what is orthana?

spray
gastric mucin, NaF, xylitol
NHS prescirbed

9

what is bioextra?

gel
lactoperoxidase, lactoferrin, xylitol
prescribed on NHS

10

what is glandosane?

aerosol. on NHS, low pH = problem

11

what are salivix pastilles?

sugar free, malic acid on NHS

12

sugar free sweets?

tooth friendly symbol = acceptable

13

what can a lack of saliva cause?

opportunistic oral infections
perio disease
caries

14

how to treat fungal infections?

nystatin
amphotericin C - only one sugar free
both come as lozenges or rinses

15

chairside advice for dry mouth?

OHI, topical F, diet advice, atomiser with water

16

how to manage the perio disease?

frequent hygiene app's, stress OHI, chx gel 1%