Children and adolescents
Pediatric Sjögren's disease
Recurrent parotid swelling is the most common presentation in children, more often than dryness.
What to look for
- Recurrent parotitis, dry eyes or mouth, fatigue, arthralgia
- ANA, SSA/Ro, SSB/La or RF positive. Can overlap with SLE.
What to do
- Send ANA, SSA/SSB, RF, CBC, metabolic panel, IgG and urinalysis.
- Ophthalmology for an ocular surface assessment.
- Rule out infection or stones for parotid swelling.
About this urgency level
Specialist evaluation helps, but these are usually less time-sensitive than new inflammatory arthritis or connective tissue disease.
Timeframes are typical targets. Local pathways, capacity and clinical judgment come first.