I have had dermatomyositis for three years and was asked to take tablet Cellcept. Before being diagnosed with dermatomyositis, I developed dry eye disease due to meibomian gland dysfunction. After taking the medicines, I had dryness in my mouth. I tested negative for anti-SSA Ro and anti-La/SSB antibodies for Sjögren's syndrome a few years ago. Recently I developed Demodex rosacea. My rheumatologist suggested I might have secondary Sjögren's syndrome. Is secondary Sjögren's syndrome serious? I read that Sjögren's syndrome can cause dryness of the eyes and ears, kidney problems, and lymphoma. Can secondary Sjögren's syndrome cause lymphoma and other serious issues? Is primary Sjogren's syndrome the same as secondary Sjogren's syndrome?
Do not worry, as you are receiving the best treatment for dermatomyositis. Secondary Sjogren's syndrome is a very common autoimmune disease. Being on tablet Cellcept (Mycophenolate mofetil 500 mg) is more than enough to prevent complications of Sjogren's syndrome. You must follow-up regularly with your doctor for any swollen lymph nodes.
Thank you doctor for the reply,
Is it better to have secondary Sjögren’s syndrome than primary? Is there less risk of organ damage or lymphoma in primary Sjogren's syndrome?
Primary Sjogren's syndrome is less severe than secondary. However, there are no studies available to compare both. Therefore, I am answering your query based on my clinical observation. The risk of lymphoma is present in all rheumatic diseases, including dermatomyositis. Therefore I do not think you should be worried about Sjogren's syndrome. You just need a regular check-up and careful examination.
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.