The age is also a contributing factor to this disease. Diagnosis of this disease is very complicated. Despite these advances in definition of Sjogren s syndrome there are no universally accepted diagnostic criteria. There are four different kinds of tests that can be done to diagnose Sjogren s syndrome if patient is having multiple symptoms. Patient also feels thick, ropy secretion along the inner canthus of eyes.
Salivary flow is decreased due to destruction of salivary glands.
Both major and minor salivary glands are affected. In half of the patients there is bilateral and symmetric enlargement of the parotid gland. As a result of Xerostomia patients can suffer from many oral conditions. With the glandular manifestations there are also many extra glandular or systemic clinical manifestations associated. Sjogren s syndrome remains fundamentally an incurable disease, since no therapeutic modality has been identified that may alter the course of the disease .