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Clinical practice guidance for Sjögren's syndrome in pediatric patients (2018) - summarized and updated
Minako Tomiita1, Ichiro Kobayashi2, Yasuhiko Itoh3
1Department of Pediatrics, Pediatric Allergy and Rheumatology Center, NHO Shimoshizu National Hospital, Yotsukaido, Japan.
Insights
Sjögren
Area of Science:
- Pediatric Rheumatology
- Autoimmune Diseases
Background:
- Sjögren's syndrome (SS) is often under-diagnosed in children due to subtle symptoms.
- Pediatric SS patients frequently lack access to appropriate medical care.
Purpose of the Study:
- To introduce a newly developed English guidance for pediatric Sjögren's syndrome (SS).
- To standardize the diagnosis, treatment, and management of pediatric SS.
- To update and summarize the 2018 Japanese guidance.
Main Methods:
- The guidance covers epidemiology, clinical features, and diagnostic methodologies for pediatric SS.
- It is based on existing data and expert consensus.
- This article presents an updated English version of the Japanese guidance.
Main Results:
- The guidance provides a framework for identifying and managing pediatric SS.
- It aims to improve medical care accessibility for affected children.
- The document highlights the need for future revisions as more data emerge.
Conclusions:
- Standardized guidance is crucial for improving pediatric SS care.
- Early diagnosis and management are essential for better patient outcomes.
- This updated guidance facilitates international understanding and application.
Abstract:
There are a considerable number of pediatric patients with Sjögren's syndrome (SS); however, SS is generally considered rare among children. Pediatric patients with SS report fewer sicca symptoms; therefore, many are under-diagnosed and cannot access appropriate medical management. Therefore, we propose a newly developed guidance for the diagnosis, treatment, and management of pediatric SS, including epidemiology, clinical features, and diagnostic examination methodology. The aim of this guidance was to standardize the medical care of pediatric SS in Japan, and we published the Japanese version by YODOSHA in 2018. This article is the English version, which is summarized and updated. This guidance will need to be revised in the near future as additional clinical data become available.
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