A Case Report of Primary Sjögren’s Syndrome Presenting Oral Mucosal Pain

초록

Sjögren’s syndrome (SS) is an autoimmune rheumatic disease characterized by the presenceof lymphocytic infiltration of exocrine glands and other organs. Due to the rarity of SS, itis frequently overlooked by dentists as a cause of xerostomia. Clinicians should be awarethat patients may have oral complications from SS including oral mucosal pain caused byfrictional damage. Use of the latest diagnostic criteria approved by the American Collegeof Rheumatology/European League against Rheumatism in 2016 for SS diagnosis providesthe advantage of early identification of patients who have not yet developed dry mouthsymptoms. A case of primary SS with the chief complaint of oral mucosal pain caused bymucosal damage associated with dry mouth is presented here. This case represents the importanceof recognizing oral complications of xerostomia caused by SS, and illustrates useof the latest diagnostic criteria to diagnose the suspected symptoms by dental clinicians,who typically might be the first medical professional to encounter these symptoms.

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