Sjögren's disease & overlap diseases

Turkish Society for Rheumatology recommendations for topical and systemic treatments in Sjögren's disease

Clin Exp RheumatolPublished Clinical practice recommendations

Methodological detailssystematic literature review, PICO format, expert opinion, 2011 Oxford CEBM levels of evidence, Task force of Turkish specialists in rheumatology, ophthalmology and dentistry; systematic literature review per PRISMA
  • Systematic literature review
  • PICO format
  • Expert opinion
  • 2011 Oxford CEBM levels of evidence
  • Task force of Turkish specialists in rheumatology, ophthalmology and dentistry; systematic literature review per PRISMA

Recommendations

As issued by the authors

  1. Sicca symptoms: topical therapies are the gold standard (high-level evidence)

  2. Systemic involvement: GC, HCQ and immunosuppressive agents remain cornerstone therapies (evidence mainly case series and clinical experience)

  3. Biologic therapies have limited efficacy in Sjögren's disease (SjD) but may benefit selected subgroups and can be considered in refractory systemic involvement

Original publication

Turkish Society for Rheumatology recommendations for topical and systemic treatments in Sjögren's disease. Clin Exp Rheumatol. Published 7 January 2026. doi:10.55563/clinexprheumatol/li5fmv

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