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Topics:
Rheumatology
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Sjogren’s syndrome
Do you use hydroxychloroquine for patients with asymptomatic primary Sjogren syndrome to treat hypergammaglobulinemia without other concerning features?
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In patients with sicca symptoms and positive SSA/SSB how often do you perform other diagnostic testing such as salivary gland ultrasound, biopsy, Shirmers, ocular staining, stimulated salivary flow, etc?
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How long are cholinergic agonists such as pilocarpine required to be held before doing tear assessments (ocular scoring and Schirmer’s) and sialography/salivary collection?
How do you approach management of a patient with Sjogren's disease and lung mass biopsy revealing amyloidosis?
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Is monitoring for fetal heart block recommended in pregnant patients with only slightly elevated SSA?