What is your treatment approach to neurological Sjogrens disease with both peripheral neuropathy and transverse myelitis?   

For transverse myelitis associated with Sjogren syndrome, many (if not the majority) test positive also for anti-AQP4 antibody. This is different from other autoimmune disorders such as Behcet in which the patients usually are seronegative. Therefore, I usually treat with rituximab for myelitis. As ...