36 yr old female with dry eyes and dry mouth since 5 years presented with history of bilateral small joint pains and bilateral shoulder and knee joint pains since 10 days .RA factor -10 times elevated.Anti Ro and Anti La- negative.schirmer test positive x ray  hands - features of arthritis present
INFERENCE- secondary causes of sjogren needs to evaluate to start early therapy.

Explore the case of a 36-year-old woman with dry eyes, dry mouth, and joint pain, highlighting the need for evaluating secondary Sjögren's causes.

Sjögren's Syndrome Evaluation in a 36-Year-Old Female

Secondary sjogren as intial presentation in rhematoid arthirtis

Clinical case discussion shared for educational purposes and professional medical opinion.

Secondary sjogren as inti...