New ACR EULAR classification criteria for primary Sjogrens Syndrome

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What are the New ACR EULAR classification criteria for primary Sjogrens Syndrome?

The 2016 ACR/EULAR classification criteria were created to identify a uniform population of SS patients suitable for research studies. Criteria were derived from the 2002 AECG and 2012 ACR criteria. The 2016 criteria have a sensitivity of 96% and specificity of 95% for SS.

A patient is considered to have primary SS if they have at least one symptom of ocular or oral dryness and have a score of ≥4 points out of 9 from the following items:

  • • Labial salivary gland biopsy with lymphocytic sialadenitis and a FS ≥1 foci/4 mm (3 points).
  • • Anti-SSA/Ro positive (3 points).
  • • OSS ≥5 (or van Bijsterveld score ≥4) in at least one eye (1 point).
  • • Schirmer’s test ≤ 5 mm/5 minutes in at least one eye (1 point).
  • • Unstimulated whole salivary flow rate ≤0.1 mL/minute (1 point).

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