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[Sicca syndromes in the elderly].

A Gentric1

  • 1Médecine interne et maladies infectieuses CHU de la Cavale-Blanche 29609 Brest. armelle.gentric@univ-brest.fr

La Revue Du Praticien
|March 17, 2001
PubMed
Summary
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Sicca syndromes, particularly salivary issues, affect many elderly individuals, impacting their quality of life. Drug-induced causes are common, with treatment focusing on reducing medications and local care.

Area of Science:

  • Geriatric Medicine
  • Rheumatology
  • Pharmacology

Context:

  • Sicca syndromes, especially salivary dysfunction, are common in the elderly population.
  • These conditions can significantly reduce quality of life and lead to malnutrition, even without local complications.
  • Medications are a primary etiological factor in drug-induced sicca syndromes.

Purpose:

  • To review the prevalence, causes, diagnostic considerations, and management of sicca syndromes in the elderly.
  • To differentiate drug-induced sicca from Sjögren syndrome in geriatric patients.
  • To outline appropriate diagnostic and therapeutic strategies for elderly patients presenting with sicca symptoms.

Summary:

  • Salivary sicca syndromes are prevalent in the elderly, often drug-induced, and can impair quality of life and nutrition.

Related Experiment Videos

  • Diagnostic workup, including autoimmunity tests and minor salivary gland biopsy, is indicated for suspected Sjögren syndrome, which is rare but presents with systemic symptoms.
  • Management emphasizes reducing causative drug prescriptions and implementing local care measures.

    • Impact:

    • Provides a concise overview for clinicians managing elderly patients with sicca syndromes.
    • Highlights the importance of medication review in geriatric sicca cases.
    • Clarifies diagnostic pathways for distinguishing drug-induced sicca from autoimmune conditions like Sjögren syndrome in older adults.