Misdiagnosis of a Case of Sjörgen's Syndrome and its Endodontic Management-A Case Report

Sjörgen's syndrome (SS) is an autoimmune exocrinopathy characterized by lymphocyte infiltration of salivary and lacrimal glands that leads to progressive xerostomia and xerophtalmia. One-third of patients suffer of systemic manifestations including arthritis, fever, fatigue and mucosal dryness whereas those with major salivary involvement show an increased risk to develop low-grade non-Hodgkin lymphomas. We describe a case of a 45-year-old woman, previously misdiagnosed as arthritis. Patient exhibits various symptoms like xerostomia, xerophtalmia, fatigue, mucosal thinning. Accordingly changes in the treatment plan and change in medication were done. Diagnostically antibodies were present in cochlear sample suggesting auto immune disease. This case report outlines a case of diagnosis of Sjörgen's syndrome in the Endodontics department after careful examination and accordingly endodontic treatment plan was altered.