Conquering Sjogren’s: Follow us on our journey to change the face of Sjogren’s

Guest Blog: A Mother's Journey "Rise Up"

Posted on Tue, Dec 12, 2017

It’s difficult to describe in words the many emotions or the day to day challenges of being the parent of a child living with a chronic autoimmune disease.  Life for us was forever changed when our daughter was diagnosed with Sjögren’s. Yes, I know.  I had the same reaction.  Say that again?  How is it pronounced?  Can you spell it? And then, the next logical question, can you fix it?  The answer was no.

Tigers.jpgInitially, we felt a sense of relief at least being able to identify the bully that has been picking on our daughter and be able to call it by name – Sjögren’s.  We even walked out of the doctor’s office feeling hopeful the severe episodes that led to the diagnosis were just "one-offs" and moving forward with the prescribed disease-modifying drug would somehow return things to normal.  I suppose some would call this the denial period. We could not have been more wrong.  

Then there is the feeling of isolation.  A strange thing happens as time passes. The silence becomes deafening. I explain to myself that friends and family just don’t know what to say, so they say nothing.  Perhaps they think it causes us pain to talk about it. Or maybe they tire of hearing things just aren’t okay.  I really don’t know. My heart still longs to hear: "We are sorry you are going through this." "You are doing a good job." "You are doing your best." "This must be hard." Anything kind…anything at all. No matter how much time has passed, some spoken acknowledgment would rescue me from the deserted island we sometimes feel we are on. 

And while all of those feelings still ebb and flow and toss and tumble us, an inner strength has emerged, rooted in the deep love and respect we have for our child. It’s how we put on a reassuring face, whisper encouraging words, admire our little girl’s strength and determination and push for answers. 

We started doing research. We tried to "hack" what may have caused this and why our child?  And still there are no answers and no solace in the research.  Gradually, we realized that there is a new normal.  And what was, will no longer be.  We mourned.  We mourned the loss of what was a carefree and energetic child.  We mourned our helplessness and the powerlessness we felt that we don’t have the answers and we can’t fix what is wrong.  We wish and wish that we could take our child’s place.  She has her whole life ahead of her.  Why can’t we take her place? I’d gladly take my daughter’s pain so that she could return to a "normal" childhood, one that wasn’t filled with medications, doctor’s appointments, waiting rooms, labs, chronic pain, fatigue, disappointments and fear. I don’t think we will ever reach the acceptance stage.

Where are we now? Sjögren’s is a complex disease that significantly impacts our lives. She experiences nerve pain for months on end that would render many adults unable to function, yet she perseveres and pushes on while we continue to partner with physicians to ease it.  Our ‘normal’ now consists of a morning routine to help our daughter get of out of bed each morning.  We deploy heating pads, massage and medication to help her painful joints regain something approaching normal motion.  We talk about what she can and cannot do that day so that she can manage her pain or her crippling fatigue.  Sometimes it’s a school day. Sometimes it’s not – often times, it’s not. Already, four months into the school year, she has missed a month of school for illnesses or doctor’s appointments. Remarkably, she is still an excellent student and has not fallen behind. 

We encounter top physicians who admit they are just now learning about Sjögren’s and confide that the treatments they are recommending have no science or research behind them.  We, as parents, are forced to make decisions about medications with serious sides effects for which there are no long term studies. We weigh everything and ultimately decide that we would do anything to make her more comfortable, enjoy her day-to-day and do as much of what all the other kids are doing without hesitation. We try to remain optimistic that the medications are helping and slowing the progression of the disease and its numerous more serious complications. Essentially, we are guessing and performing trial and error to figure out what will work.

Funny how your expectations can shift.  We now wish for her to be happy above having good health. I continually voice my commitment to my daughter. I won’t stop advocating and I won’t stop searching for a treatment that works or for a cure. That’s why you see me on social media being as persistent as I am. I owe this to her. If I don’t fight for our little warrior, who will?

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This was originally posted on, Sharon Tiger Talks, where Sharon raised over $3,000 for the SSF on #GivingTuesday.Body .jpg 

Topics: Children with Sjogren's, #ThisIsSjögrens

Sjögren’s & Kidney Disease

Posted on Wed, Nov 29, 2017

by Philip L. Cohen, MD, Professor of Medicine, Temple University School of Medicine 

SSF TMS.pngAbout 5% of people with Sjögren’s develop kidney problems. In most of these patients, the cause is inflammation around the kidney tubules, where urine is collected, concentrated, and becomes acidic. The infiltrating blood cells (mostly lymphocytes) injure the tubular cells, so that the urine does not become as acidic as it should. This condition, called distal renal tubular acidosis, is frequently asymptomatic, but can cause excessive potassium to be excreted in the urine, and may lead to kidney stones or (very rarely) low enough blood potassium to cause muscle weakness or heart problems. Very occasionally, injury to the renal tubules can cause impairment in the ability to concentrate urine, leading to excessive urine volume and increased drinking of fluids (nephrogenic diabetes insipidus).

A smaller number of patients with Sjögren’s may develop inflammation of the glomeruli, which are the tiny capillaries through which blood is filtered to produce urine. This may cause protein to leak into the urine, along with red blood cells. Sometimes a kidney biopsy is needed to establish the exact diagnosis and treatment. Treatment options may include corticosteroids and immunosuppressive drugs to prevent loss of kidney function.

This information was first printed in The Moisture Seekers, SSF's patient  
newsletter for members.

 Take Control of Your Health!  Receive our Newsletter by Becoming an SSF Member

 

Topics: Symptoms, Treatment, Immunosuppressant, #ThisIsSjögrens, Kidney Disease, Urine, Sjögren’s

Sjögren’s Top 5: What Your Rheumatologist Should be Monitoring For

Posted on Tue, Oct 31, 2017


Daniel Wallace.pngPatients with Sjögren’s usually see their autoimmune treating physician several times a year. Mostly, they are rheumatologists, but can also be primary physicians, internists or subspecialists such as interested pulmonary or hematology doctors. In addition to taking a history, performing a physical examination, or drawing blood tests, are there things that should be specifically looked at or monitored for? This article reviews the top five items.

1. Is there evidence for extraglandular Sjögren’s?

Some people with extraglandular Sjögren’s may have interstitial lung disease, renal tubular acidosis, swollen lymph glands, or inflammatory scarring of the bile ducts (biliary cirrhosis). Being identified with extraglandular Sjögren’s usually warrants systemic immune suppressive therapy with agents such as azathioprine, methotrexate, cyclophosphamide or rituximab. The treating physician should use their tools to screen for the spread of Sjögren’s to new areas with imaging or laboratory testing, which allows one to be proactive and treat the disease early.

2. Screening for lymphoma

Over a 15-20 year period of observation, 8-15% of Sjögren’s patients develop a lymphoma. Screening for symptoms of early lymphoma include asking a patient about swollen glands, fevers, weight loss and new onset of fatigue. A physical examination can detect lymph nodes, evidence for a “wasted” appearance, or an enlarged spleen. I perform a serum protein electrophoresis (a $30 blood test) on my Sjögren’s patients every 6 months. Often, early lymphomas can be detected with the development of an extra protein on this determination, which is known as a “MGUS” or monoclonal gammopathy of uncertain significance. Most Sjögren’s associated lymphomas are of a specific variety known as “MALT” that, if identified early, responds well to treatment.

3. Looking for overlapping Sjögren’s

Sjögren’s patients can have features of other autoimmune conditions such as rheumatoid arthritis, inflammatory myositis, biliary cirrhosis, scleroderma, Hashimoto’s thyroiditis or lupus, while still being “mostly” Sjögren’s. These features may warrant certain anti-inflammatory interventions. This would include corticosteroids for inflamed muscles, drugs that promote more oxygen to dilate the vessels of the hands for individuals with Raynaud’s (often seen with scleroderma or lupus), approaches that halt the development of erosions (bone destruction) with rheumatoid arthritis (e.g., anti-TNFs), ursodiol for biliary cirrhosis, antimalarials for subacute cutaneous lupus rashes in anti-SSA positive patients or thyroid. Identification of a secondary autoimmune overlap can often explain symptoms that may be profound but are not a part of Sjögren’s.

4. Don’t unnecessarily treat Sjögren’s for symptoms that are not related

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Sjögren’s patients may have high blood pressure, depression and diabetes, as does 25% of the United States. Medications given for these conditions can make dry eye or dry mouth symptoms more severe. Treating such patients with anti-inflammatory medications or diuretics (water pills) is not advisable. Before altering one’s Sjögren’s medications or their environment, the physician should strive to rule out co-morbidities or co-existing circumstances that may seemingly worsen Sjögren’s symptoms. 

5. Screening for head and neck emergencies or ares associated with non-extraglandular Sjögren’s

Patients with Sjögren’s whose disease is confined to the salivary glands, eye, head and neck areas occasionally develop complications, which may mandate emergent treatment. These include acute inflammation of the parotid gland (parotitis, or Mikulicz’s syndrome, with either a stone or focus of inflammation, treated with corticosteroids), corneal ulcerations, blocked salivary ducts (affecting the mouth), and dental caries or abscesses. Most Sjögren’s patients see a dentist 2-3 times a year to get their teeth cleaned, and are often frequent return visitors to their otolaryngologist (ENT doctor). 

In summary, screening for the five features reviewed above, can prevent or promote early treatment of the overwhelming complications with Sjögren’s.

This information was first printed in The Moisture Seekers, SSF's patient  
newsletter for members. 

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Topics: Depression, Treatment, coping with sjogren's, Raynauds, Rituxan, Lupus, Lymphoma, Methotrexate

RESEARCH UPDATE: New Breakthrough from SSF Grantees

Posted on Thu, Sep 07, 2017

 "Findings yield new clues to puzzling autoimmune disease"

OMRF.jpgOklahoma Medical Research Foundation (OMRF) scientist and former SSF research grant recipient, Kathy Sivils, Ph.D., and her colleagues have identified a strong association between a variant in a gene called OAS1 and susceptibility to Sjögren’s. This variant may provide valuable insight into the genetic basis of Sjögren’s, as well as other autoimmune conditions with similar triggers.

This research was completed by the Sjögren’s Genetics Network (SGENE) that consists of an international coalition of researchers led by scientists at OMRF, including two former SSF Research Grantees: Dr. Kathy Sivils and Dr. Christopher Lessard.

“There was very little evidence for a connection to autoimmune disease prior to our study. Firmly establishing this new association with Sjögren’s then led us to look at the gene’s function in more detail,” said OMRF scientist, co-leader of the project and former SSF research grant recipient, Christopher Lessard, Ph.D.

“If we can get out ahead of the disease, it might help lessen the severe damage that can occur in salivary glands and other organs,” Dr. Sivils said. “Early diagnosis and proper treatment are crucial, and discoveries like this one may give researchers and healthcare professionals more to work with as they look for clues to this perplexing disease.”

Although this is only one step in unlocking the mystery of Sjögren’s, this breakthrough gives hope for future researchers to investigate causes, progressions, and treatments at the disease’s genetic level.

“On behalf of Sjögren’s patients, the Sjögren’s Syndrome Foundation (SSF) applauds OMRF for its commitment to finding the many unanswered questions about the disease,” said SSF CEO Steven Taylor. “Drs. Sivils and Lessard, along with their OMRF colleagues, continue to leave their mark in advancing Sjögren’s research, and patients worldwide will benefit from their hard work.”

It’s because of your generous support that the SSF is able to award grants to talented investigators, like Dr. Sivils and Dr. Lessard, who bring novel approaches to Sjögren’s research. The SSF is currently focused on many research initiatives including: Research Grants, Clinical Practice GuidelinesClinical Trials Consortium and our 5-Year Breakthrough GoalWe hope you will consider donating to the SSF Research Program and help us transform the future of Sjögren’s for all patients and their families. 

Click here to read the full press release from OMRF

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Topics: Sjogren's, Advocacy, Research

Headaches and Sjögren’s

Posted on Thu, Aug 31, 2017

Headaches and Sjogren's.png

Sjögren’s is a systemic autoimmune disease often characterized by dryness of the eyes and mouth and accompanied by chronic fatigue and musculoskeletal pain. Over half of Sjögren’s patients experience systemic symptoms, some of which can involve the nervous system. One of the most common symptoms involving the nervous system is headache. Headaches are a common complaint in healthy people who do not have an autoimmune disease. Some of the most common types of headaches include tension type headaches, migraines (with and without aura), and cluster headaches. Headaches are common in Sjögren’s, estimated to occur in roughly 50 to 75% of patients.

headaches .png

Many Sjögren’s patients may wonder whether or not their underlying autoimmune disease is causing the headaches. Although the answer to this question is largely unknown, some research comparing Sjögren’s patients with healthy controls show that tension-type headaches and migraine headaches, the most common headache subtypes found in Sjögren’s, are more common in those with Sjögren’s than in the general population. Other data demonstrate headaches are more severe in those with Sjögren’s than in those of the general population with depression as a significant influence on headache severity.

Sjögren’s patients may also develop a rare and particularly severe type of headache caused by inflammation of the outer lining of the brain (the leptomeninges) called aseptic meningitis. Although meningitis in general is typically caused by infectious agents like viruses and bacteria, in aseptic meningitis, the inflammation is not caused by infection but rather by other causes such as a reaction to a medication or autoimmune activity. In addition to headaches, aseptic meningitis may also be associated with fever, neck stiffness, and other neurologic symptoms such as double vision. 

In general, treatment for routine headaches is the same in those with Sjögren’s as it is for anyone else including medications such as acetaminophen or ibuprofen. Treatment for aseptic meningitis may also involve glucocorticoids such as prednisone. For those Sjögren’s who suffer from headaches, it is important to discuss this symptom with the primary care practitioner and rheumatologist to see if further evaluation is warranted.

This information was first printed in The Moisture Seekers, SSF's patient  
newsletter for members. 

Click Here to Receive our Newsletter  by Becoming an SSF Member

Topics: Depression, Symptoms, Sjogren's, Treatment, coping with sjogren's, Headaches

Ask the Expert: Frequent Bladder Infections and Sjögren’s

Posted on Thu, Aug 17, 2017

Question_and_Answer.jpg“I’ve recently started experiencing frequent bladder infections, could this be associated with my Sjögren’s?"

Sjögren’s is an autoimmune disease that causes dryness in the body, including the vaginal area. Vaginal dryness may result in discomfort during sexual intercourse and an increase in the risk of bacterial and fungal vaginal infections. Painful urination, a common symptom of UTIs, also can occur with vaginal infections. 

If you are find that you are experiencing symptoms similar to those of a urinary tract infection — urinary frequency, urgency and pain — make sure that you ask your doctor for a full urine culture.  These urinary symptoms in the absence of bacteria, could point to Interstitial Cystitis (IC) and should be further investigated with the help of an urologist. 

Research about the overlap of IC and Sjögren’s is limited, however, case reports are beginning to pop up in the clinical literature. And, the Social Security Administration (SSA) lists Sjögren’s in the Social Security Disability Insurance guidelines and highlights IC as one of many overlapping conditions experienced by people with Sjögren’s.

Although a universal cause for IC (such as a biomarker) has not been found, postulated causes include reoccurring bladder infections, pelvic dysfunction, and it being an autoimmune condition.

by Jennifer Zuzelski,  Program Manager/Information Specialist, Interstitial Cystitis Association

This information was first printed in The Moisture Seekers, SSF's patient  
newsletter for members. 

Click Here to Receive our Newsletter  by Becoming an SSF Member

Comment below and let us know what questions you would like answered in upcoming issues of The Moisture Seekers.

Topics: Symptoms, Treatment, Vaginal Dryness, Disability, Ask the Expert, Bladder Infections

World Sjögren's Day 2017

Posted on Sat, Jul 01, 2017

World Sjögren's Day commemorates the birthday of Henrik Sjögren, the Swedish ophthalmologist who first identified the disease in 1933 and has helped all patients find answers to their health questions. This year, the SSF will join with other organizations around the world to celebrate recent advancements made in Sjögren's this past year and raise awareness of the disease in honor of Dr. Sjögren.

World Sjögren's Day helps put a face on the millions of people who live with this disease or suffer from symptoms and have yet to be diagnosed. It gives everyone touched by Sjögren's a vehicle to reach out and educate those close to them - family, friends, co-workers, neighbors, etc. - about the disease. 

We encourage you to use this opportunity to let your voice heard and talk about Sjögren’s with the people in your life. By sharing your story and educating others, you are helping to form the message that Sjögren's is a serious disease that deserves to be recognized. You may also be helping someone who is looking for answers to their problems.

How Can You Get Involved:

This is Sjo Collage 2.jpg

What is Sjögren’s?

Sjögren’s (“SHOW-grins”) is a systemic autoimmune disease that affects the entire body. Along with symptoms of extensive dryness, other serious complications include profound fatigue, chronic pain, major organ involvement, neuropathies and lymphomas.

Today, as many as four million Americans are living with this disease and nine out of ten patients are women with an average age of onset in the late 40’s. However, Sjögren’s can occur in all age groups, even in children.

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UPDATE:

World Sjögren’s Day Raises over $8,000!

Thank you to everyone who shared their story and donated in honor of World Sjögren’s Day, which was created to commemorate the birthday of Dr. Henrik Sjögren! Together, we not only increased awareness of this debilitating disease but also raised over $8,000 for Sjögren’s research and SSF patient programs!

Remember, even though the day has passed you can still donate in honor of Dr. Sjögren and all patients.  Click here to learn more.

Topics: World Sjogren's Day, Advocacy, #ThisIsSjögrens

What You Need to Know About Sjögren’s Clinical Trials

Posted on Tue, Jun 13, 2017

clinical trial.jpgClinical trials are a crucial element in medicine and health care to help develop drugs that will treat or possibly cure certain diseases. Researchers use clinical trials to test if a drug works, how well it works, how safe it is and how it compares to any currently available treatments.

Before a drug can be tested on human patients, it is tested for years in labs. Clinical trials are among the final steps of the drug development process. When drugs are brought to clinical trials, pharmaceutical companies must find enough patients to participate in the research in order to get solid results. The rarer the condition, the more difficult it can be to find the number of patients needed for a trial.

Considerations for Participating in a Clinical Trial

If you have been diagnosed with Sjögren’s and are thinking about participating in a clinical trial, there are several factors you should consider. You can learn about trials taking place in your area on the Sjögren’s Syndrome Foundation’s website by clicking here. When researching details of potential trials that might work for you, find out the risks and benefits of each trial, ask if there are any costs that you may be responsible for associated with participation, and most importantly, talk to your doctor about whether or not the trial is right for you.

One specific consideration for participating in a Sjögren’s study is your diagnosis. In some cases, the diagnostic criteria in the study protocol may be different than the criteria your doctor used in your diagnosis.

Clinical trials can help patients gain access to new drugs and expert medical care, while contributing to important medical research benefiting the larger community. However, patients should not enter a clinical trial without considering the risks and costs to themselves as well – the medication might not work, or might have unpleasant side effects; the time and travel to the study site, time for study visits and absences from work might be costly; and once the trial is complete, the treatment may still need to undergo months of approvals before you can have regular access to it. Additionally, as a patient in a clinical trial, you may receive a placebo drug or therapy instead of the new treatment being studied. Even if you are a patient receiving a placebo, you will still receive basic standard of care and medical oversight for your condition.

How do Clinical Trials Work?

Clinical trials vary greatly depending on the type of study and the treatment being tested. Each trial is usually funded, or sponsored, by a pharmaceutical company, academic research center, or federal agencies such as the National Institutes of Health (NIH). Studies take place across the U.S. and even globally, at hospitals, physician offices, clinics and more – one study might have researchers conducting the trial in many different locations.

Prior to enrolling, you should know how long the study is expected to last, where you will need to go and what you will need to do in order to participate, how your participation will be compensated for – or if you will be compensated for your participation and more. These questions can be answered during discussions with the doctor or staff running the study. If you are still interested in participating, the study staff will usually schedule a screening visit. The details of screening appointments varies from study to study, but all screening appointments are used to determine your eligibility for the trial. Depending on the therapy being studied, screening appointments might look to learn your medical history; run blood, urine or tissue samples; and learn what medications you are currently taking.

Following the screening, the team running the study will contact you to let you know if you qualify for the trial or not. If you do qualify, you will be scheduled for your first study visit, which will help establish the baseline of your participation in the study. Again, the specifics will vary in each trial, but the doctor might run tests or draw labs, as well as give you the drug being studied and instructions for dosing and any reporting you may need to do. This first visit will also give you a chance to schedule future visits.

Throughout the duration of the study, you will need to attend appointments at various intervals. Some studies require regular visits or even hospital stays, while others can be done less frequently. As a study progresses, you may need to be seen less frequently. At each visit, the doctor may re-run tests or labs to compare against the baseline. You also may be given more medication at each visit.

When the study comes to an end, you will need to turn in any unused medication and reporting documents. The doctor will perform tests, labs or procedures similar to what was done during your screening or baseline appointments to see if the drug has made an impact on your health. The doctor may be able to tell you what treatment you received during the study once the study is complete. Once the clinical trial is completed, you will need to revert to your previous physician, if different, and treatment schedule.

Deciding to join a clinical trial can be a difficult decision, but taking part can help researchers learn more about potential treatments for your condition. If you carefully consider the risks and rewards, and arm yourself with information before committing to a study, participating can be a very rewarding experience.

by Kristen Snipes, Project Director at Rho, a Clinical Research Organization

This information was first printed in The Moisture Seeker, SSF's patient  
newsletter for members. 

Click here to learn more about  Sjögren’s clinical trials

Topics: Treatment, Advocacy, Clinical Trials

Ask the Expert: Sjögren’s and Fibromyalgia

Posted on Wed, May 31, 2017

Sjogren's Body 2017.png

"I have been diagnosed with Sjögren’s and fibromyalgia. How do I know what symptoms are because of my Sjögren’s and which are from the fibromyalgia? 

Should I change how I treat a symptom based on which disease caused it?"

There are many symptoms of Sjögren’s and fibromyalgia that overlap, and many people suffer from both conditions simultaneously, so this is a very good question. For example, both disorders can cause symptoms of dry eyes. If the dry eyes is due to Sjögren’s the person’s eyes will actually be dry, and artificial tears or medications to increase tearing can help. That same symptom seen in fibromyalgia is not due to the eye really being dry, but instead the nerves throughout the body being more sensitive, and feeling dryness when there is none.

Pain is another symptom that both disorders can cause. If it is from Sjögren’s the pain will typically be in the joints, whereas if it is due to fibromyalgia it can be anywhere, and will especially involve the trunk, muscles, etc.

Fatigue is a characteristic of both disorders as well, but it is difficult to differentiate the fatigue of Sjögren’s from that of fibromyalgia, except by “the company it keeps.” By this I mean that if you have overall symptoms of fibromyalgia (pain in many areas, sleep problems, sensitivity to brightness of lights, noises, odors, etc), then the fatigue you are experiencing is likely more due to the fibromyalgia, whereas if there are no other symptoms of fibromyalgia and you primarily are experiencing symptoms of Sjögren’s, then the fatigue is more likely due to the Sjögren’s. 

by Daniel Clauw, MD, Michigan

 

This information was first printed in The Moisture Seekers, SSF's patient  
newsletter for members.

Take Control of Your Health!  Receive our Newsletter by Becoming an SSF Member



 

Topics: Dry Eyes, Symptoms, Sjogren's, Joint Pain, Fatigue, Chronic Pain, Ask the Expert, Fibromyalgia

National Patient Survey Reveals Significant Physical and Emotional Burdens of Sjögren’s

Posted on Fri, Apr 21, 2017

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April is Sjögren’s Awareness Month and to better portray the entire patient experience, the Sjögren’s Syndrome Foundation (SSF) is using facts and figures from our recent “Living
with Sjögren’s” patient survey in our This Is Sjögren’s 2017 April Awareness Campaign. This survey, which was conducted by Harris Poll on behalf of the SSF, gave the Foundation amazing data about how patients’ lives are affected by Sjögren’s, what symptoms and complications patients live with and how the disease affects their emotional and financial well-being.

For the overwhelming majority of Sjögren’s patients, coping with the disease every day, is a limits ones ability to function at home and in the workplace, according to our survey. As patients know, Sjögren’s is a systemic autoimmune disease that affects the entire body and affects approximately one-percent of the U.S. population.

Sjögren’s is often referred to as an invisible disease, one that, while patients may experience extreme discomfort, people don’t physically see, which leads to a misunderstanding about the seriousness of the disease. If you break a bone and wear a cast others can see your injury and understand your limitations. But with Sjögren’s, your symptoms are not clearly visible so not only do you have to put up with challenging, often painful, and sometimes debilitating conditions every day, but you may face disbelief from family, friends, co-workers, and even doctors, who don’t understand what’s wrong with you. The “Living with Sjögren’s: Summary of Major Findings” brings to the forefront the significant quality of life challenges faced by Sjögren’s patients.

Below you will find the “Living with Sjögren’s: Summary of Major Findings” (or view  full Report here). I encourage you to share this with your family and friends to help start a conversation about living with Sjögren’s and how it affects you. The SSF knows, that as we help others understand the disease, the more support patients will find. And please know that the Sjögren’s Syndrome Foundation is always fighting for you and ensuring that the patient voice is heard! We are committed to accelerating the development of better diagnostic, management and therapeutics that will have the greatest potential impact on improving the quality of life for Sjögren’s patients.

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