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Juvenile Sjögren syndrome: distinctive age, unique findings.

Pediatric dentistry (2012-12-06)
Thayse Rodrigues de Souza, Igor Henrique Morais Silva, Alessandra Tavares Carvalho, Valder Barbosa Gomes, Angela Pinto Duarte, Jair Carneiro Leão, Luiz Alcino Gueiros
ABSTRACT

Juvenile Sjögren's syndrome is a rare condition that affects children and adolescents with distinctive clinical features. Parotid swelling usually precedes regular oral and ocular symptoms, while typical serological findings may be absent. Hence, diagnosing juvenile Sjögren's syndrome may be challenging to the attending pediatric dentist, and long-term management without proper diagnosis may be jeopardized. The purpose of this report was to detail the features of an adolescent with primary Sjögren's syndrome diagnosed 12 years after the onset of the disease. An updated literature review highlighted the unusual aspects of the pediatric form of the disease.

MATERIALS
Product Number
Brand
Product Description

Pilocarpine hydrochloride, European Pharmacopoeia (EP) Reference Standard
Sigma-Aldrich
Pilocarpine nitrate salt, ≥98% (HPLC)
Sigma-Aldrich
Pilocarpine hydrochloride, ≥99% (titration), powder
Pilocarpine nitrate for system suitability, European Pharmacopoeia (EP) Reference Standard
Sigma-Aldrich
Pilocarpine nitrate, meets USP testing specifications