Stem Cells & Perinatal Therapies
Cell and perinatal products: promise, evidence, quality and clinical limitations.
Sjögren’s disease
Understand the diagnosis. Navigate care. Examine what is changing.
By Olga Goodman, MD · A RheumaView publication
Patient quizzes are free. Open demos need no registration; the other quizzes require a free account.
Matching chapters, quizzes and resources
Sjögren’s patient quizzes
Short stories, a little humour and explanations you can explore at your own pace.
Explore the chapters
Start with the question that matters to you. Open a topic to see its full chapters.
Diagnosis & uncertainty
Make sense of symptoms, tests and an uncertain diagnosis.Show chapters+
Dryness & gland care
Protect the eyes and mouth and understand gland function.Show chapters+
Systemic manifestations
Explore disease beyond dryness and differences between phenotypes.Show chapters+
Treatment & response
Connect treatment choices with goals and meaningful outcomes.Show chapters+
Daily life & follow-up
Address fatigue, function, monitoring and different life stages.Show chapters+
Research & new approaches
Examine clinical trials, emerging treatments and biological questions.Show chapters+
Watch & explore
Visual explanations by Olga Goodman, MD. Film and animation captions are in English.
From dryness to disease modification
A visual introduction to systemic disease and treatment research. Published June 2026; use the current chapters for evidence and regulatory updates.
Explore new treatments ↗Disease, treatment and the BAFF pathway
Watch the mechanism close-up, then explore the full 31-step sequence at your own pace.
Open the interactive journey ↗Related reading
Afraid of the medication. What about the disease?
Medication fears, benefits, side effects, and the cost of waiting. Read the evidence and prepare your questions.
Patient education supports conversations with your care team and does not replace individual diagnosis or treatment.
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Más allá de la sequedad: manifestaciones sistémicas de Sjögren
Qué aportan los síntomas y las pruebas, cómo se evalúa la afectación orgánica y qué cambios necesitan atención más temprana.
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Is my Sjögren’s treatment helping?
Understand the goal of Sjögren’s treatment, partial improvement, monitoring and the next decision.
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Following Sjögren’s over time
Which checks matter in Sjögren’s, how often to arrange them, how to interpret stable disease, and which changes should prompt earlier assessment.
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Что на самом деле показывают испытания при болезни Шегрена
Как читать положительные, отрицательные и пока неполные результаты · Проверено 23 сентября 2026 года
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SJD-05 · The gland that stayed
A Sjögren’s clinical quiz on lymphoma predictors, persistent parotid swelling, biopsy, MALT staging, treatment and transformation.
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Poza suchością: układowe manifestacje choroby Sjögrena
Co mogą pokazać objawy i badania, jak ocenia się zajęcie narządów oraz które zmiany wymagają wcześniejszej uwagi.
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¿Está funcionando mi tratamiento para Sjögren?
Cómo entender los objetivos del tratamiento de Sjögren, la mejoría parcial, los controles y la siguiente decisión.
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Наблюдение при болезни Шегрена
Наблюдение при болезни Шегрена: сроки визитов и анализов, контроль органов и безопасности лекарств, изменения желёз и поводы обратиться раньше.
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Qué nos dicen realmente los ensayos sobre Sjögren
Cómo interpretar resultados positivos, negativos e incompletos · Revisado el 23 de septiembre de 2026
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SJD-06 · She could not stand up
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Order the urgent response to hypokalaemic paralysis, investigate distal renal tubular acidosis, and plan continuing renal care. Olga Goodman, MD · A RheumaView publication ← Case 5: The gland that stayed All Sjögren’s quizzes Renal involvement & treatment Explore & Practice Next: Case 7 · At the ILD meeting → SJD-06 · Professionals · English — Three ordering puzzles: urgent care, diagnostic work-up and the long-term plan. Earn partial credit for correctly placed steps. Maximum: 112 points. Open quiz in full window ↗ Educational clinical reasoning exercise. […]
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Sjögren’s: start with your question
Read a short answer, explore the details or examine the research. No medical background is required; you choose the depth.
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Czy moje leczenie choroby Sjögrena pomaga?
Jak rozumieć cele leczenia choroby Sjögrena, częściową poprawę, kontrole i kolejną decyzję.
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Seguimiento del Sjögren a lo largo del tiempo
Seguimiento del Sjögren: plazos de consultas y pruebas, control de órganos, seguridad de medicamentos y cambios que requieren atención antes.
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Co naprawdę pokazują badania kliniczne w chorobie Sjögrena
Jak rozumieć wyniki dodatnie, ujemne i jeszcze niepełne · Sprawdzono 23 września 2026 r.
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SJD-07 · At the ILD meeting
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Take a seat at the multidisciplinary ILD meeting: weigh the findings, judge the proposed decisions, and test your reasoning. Olga Goodman, MD · A RheumaView publication ← Case 6: She could not stand up All Sjögren’s quizzes Systemic organ atlas Explore & Practice Next: Case 8 · Forty weeks with anti-Ro → SJD-07 · Professionals · English — Two decision decks and an optional bonus round. Clinical explanations, source links and enlarged illustrations. Core: 124 points; bonus: 12 points. Open quiz in full window ↗ Educational clinical […]
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Sjögren: empiece por su pregunta
Puede leer una respuesta breve, profundizar en la explicación o examinar la investigación. No necesita formación médica; usted elige cuánto profundizar.
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Treatment in Sjögren’s: define the target, then judge the response
A clinical framework for choosing treatment targets in Sjögren’s, interpreting response, monitoring harm and deciding when to change therapy.
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Obserwacja choroby Sjögrena w czasie
Kontrole w chorobie Sjögrena: terminy wizyt i badań, obserwacja narządów, bezpieczeństwo leków i objawy wymagające wcześniejszej oceny.
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Therapeutic pipeline: mechanisms, trials and regulatory status
Named programs with dated evidence and recruitment status · Checked 23 September 2026
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SJD-08 · Forty weeks with anti-Ro
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Plan care across an anti-Ro-positive pregnancy: arrange the clinical steps before conception, during fetal surveillance and after delivery. Olga Goodman, MD · A RheumaView publication ← Case 7: At the ILD meeting All Sjögren’s quizzes Systemic organ atlas Explore & Practice Case 9: Numb, unsteady, and not weak → SJD-08 · Professionals · English — Three ordering puzzles with partial credit, clinical explanations, source links and enlarged illustrations. Maximum: 111 points. Open quiz in full window ↗ Educational clinical reasoning exercise. © 2026 Olga Goodman, MD · […]
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Choroba Sjögrena: zacznij od swojego pytania
Przeczytaj krótką odpowiedź, poznaj szczegóły albo przyjrzyj się badaniom. Wiedza medyczna nie jest wymagana; samodzielnie wybierasz poziom szczegółowości.
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Помогает ли мне лечение болезни Шегрена?
Как понимать цели лечения болезни Шегрена, частичный ответ, контроль безопасности и причины смены терапии.
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Nutrition and special populations in Sjögren’s
Nutrition and special populations in Sjögren disease: dietary evidence, oral intake, omega-3, pregnancy and anti-Ro, lactation, childhood, aging and comorbidity.
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New treatments for Sjögren: what stage are they at?
Research, trial participation and country-specific access · Checked 23 September 2026
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SJD-09 · Numb, unsteady, and not weak
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Recognize neurological patterns, choose the next investigation and weigh treatment decisions in two clinical question chains. Olga Goodman, MD · A RheumaView publication ← Case 8: Forty weeks with anti-Ro All Sjögren’s quizzes Systemic organ atlas Explore & Practice Case 10: Dry since the fourth cycle → SJD-09 · Professionals · English — Two question chains with BANK/RISK decisions, chain bonuses, clinical explanations and enlarged illustrations. Maximum: 114 points. Open quiz in full window ↗ Educational clinical reasoning exercise. © 2026 Olga Goodman, MD · Please cite […]
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Болезнь Шегрена: начните со своего вопроса
Можно прочитать короткий ответ, разобраться подробно или перейти к исследованиям. Медицинская подготовка не требуется; глубину чтения выбираете вы.
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Choosing systemic treatment in Sjögren’s disease
Organ-directed treatment in Sjögren’s disease: joints, nerves, lungs, kidneys, vasculitis and blood abnormalities, with drug selection, evidence limits and safety.
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Food, pregnancy and different stages of life with Sjögren’s
Practical food choices, dry mouth, swallowing, supplements, pregnancy and anti-Ro, breastfeeding and care at different stages of life with Sjögren’s.
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Новые методы лечения болезни Шегрена: на каком они этапе?
Исследования, участие в испытаниях и доступность в разных странах · Проверено 23 сентября 2026 года
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SJD-10 · Dry since the fourth cycle
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Assess new dryness during cancer immunotherapy, weigh treatment decisions and revisit the case in rheumatology follow-up. Olga Goodman, MD · A RheumaView publication ← Case 9: Numb, unsteady, and not weak All Sjögren’s quizzes Systemic organ atlas Explore & Practice SJD-10 · Professionals · English — Two runs of four gates with 50/50 and Insight lifelines, a score gamble, clinical explanations and enlarged illustrations. Maximum: 95 points. Open quiz in full window ↗ Educational clinical reasoning exercise. © 2026 Olga Goodman, MD · Please cite the author […]
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Sjögren’s Disease · In Depth
Clinical reasoning and patient education about Sjögren’s disease.
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Glandular care in Sjögren’s: eyes, mouth, salivary function and prevention
A clinical guide to mechanisms, treatment selection, dental prevention, procedures and the limits of the evidence.
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Why does Sjögren’s treatment differ from one person to another?
Understand why treatment differs for joints, nerves, lungs, kidneys and other Sjögren’s complications, and how benefits and risks guide the choice.
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Питание, беременность и разные этапы жизни при болезни Шегрена
Питание при болезни Шегрена: сухость, глотание, добавки, беременность и anti-Ro, грудное вскармливание и особенности разных этапов жизни.
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Nuevos tratamientos para Sjögren: ¿en qué etapa están?
Investigación, participación y acceso según el país · Revisado el 23 de septiembre de 2026
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B-cell treatment reasoning in Sjögren’s · CASCADE
Added Sep 25, 2026 · Clinically reviewed Sep 25, 2026RheumaView · Olga Goodman, MD Explore patient priorities, disease features and mechanism-based treatment reasoning through a three-stage fictional case. Olga Goodman, MD · A RheumaView publication Sjögren’s collection Evidence & treatments in development Mechanisms & precision CASCADE · Professionals · English — Three interactive stages, ordered ranking, clinical explanations, two scoring attempts and enlarged images. The authored ranking is an educational model, not a validated treatment hierarchy. Open quiz in full window ↗ Educational clinical reasoning exercise. © 2026 Olga Goodman, MD · Please cite the author when sharing. ♡ Like Sjögren’s […]
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Diagnosing Sjögren’s disease: from suspicion to a defensible conclusion
Start with the clinical question, establish what each test actually measures, and document both supporting evidence and alternatives. Classification, diagnosis and treatment decisions overlap but answer different questions.
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Dry eyes, mouth and salivary glands: a practical guide to Sjögren’s care
Everyday measures, prescription options, dental protection and advanced treatments — with explanations of what each can and cannot achieve.
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Почему лечение болезни Шегрена у разных людей различается?
Как выбирают лечение суставов, нервов, лёгких, почек и других проявлений болезни Шегрена: цели, препараты, доказательства и безопасность.
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Alimentación, embarazo y etapas de la vida con Sjögren
Alimentación con Sjögren: sequedad, deglución, suplementos, embarazo y anti-Ro, lactancia y cuidados en diferentes etapas de la vida.
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Nowe terapie choroby Sjögrena: na jakim są etapie?
Badania, udział i dostępność w poszczególnych krajach · Sprawdzono 23 września 2026 r.
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CSC-003 · Margaret’s next treatment decision
A fictional Sjögren treatment scenario with an animated BAFF-R mechanism, simulated evidence, patient selection and a comprehension quiz. By Olga Goodman, MD.
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My Sjögren’s Disease
CSQ-SJD-PATIENT. Sjögren disease (SjS). Patient perspective longitudinal interactive module and quiz. 27 decisions. Fully open demo; no registration. EN/RU/ES/PL. A little over three years from the patient’s chair: dry eyes in the interpreting booth, tests that disagree, medicines with different jobs, big promises and a pregnancy. RVQP1: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Anti-SSA-negative disease and discordant tests
Seronegativity is a laboratory description, not a single biological phenotype. When tests disagree, examine methods, tissue quality, the population in which accuracy was measured and the clinical decision still at stake.
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Сухость глаз и полости рта при болезни Шегрена: подробное руководство
Повседневная помощь, лекарства, защита зубов, слюнные железы и специализированные методы — с объяснением возможностей и ограничений каждого подхода.
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¿Por qué el tratamiento de Sjögren cambia de una persona a otra?
Cómo se elige el tratamiento de articulaciones, nervios, pulmones, riñones y otras manifestaciones de Sjögren: objetivos, medicamentos y seguridad.
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Żywienie, ciąża i różne etapy życia z chorobą Sjögrena
Żywienie w chorobie Sjögrena: suchość, połykanie, suplementy, ciąża i anty-Ro, karmienie piersią oraz opieka na różnych etapach życia.
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Mechanisms, biomarkers, precision treatment and gland regeneration
Mechanisms, biomarkers, personalised treatment and the evidence for regeneration
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Sjögren’s Disease: The Essentials
More than dryness: understand the diagnosis, protect daily function and know what follow-up should cover.
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Understanding Sjögren’s: diagnosis, symptoms and treatment decisions
Sjögren’s can affect more than the eyes and mouth. A useful care plan explains the evidence for your diagnosis, addresses the symptoms that matter to you and identifies changes that need medical attention.
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Ojos, boca y glándulas salivales: guía práctica de cuidados en Sjögren
Medidas cotidianas, medicamentos, protección dental y tratamientos especializados: qué puede aportar cada opción y cuáles son sus límites.
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Dlaczego leczenie choroby Sjögrena różni się u poszczególnych osób?
Jak wybiera się leczenie stawów, nerwów, płuc, nerek i innych objawów choroby Sjögrena: cele, leki, dowody naukowe i bezpieczeństwo.
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International recommendations: where they agree and why they differ
A clinical comparison by question, population and evidence date · Checked 23 September 2026
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Sjögren’s: what research means for your treatment and gland function
Mechanisms, biomarkers, personalised treatment and the evidence for regeneration
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Болезнь Шегрена: главное
Больше, чем сухость: как понять диагноз, сохранить повседневные возможности и организовать наблюдение.
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Болезнь Шегрена: как понимать диагноз, симптомы и лечение
Болезнь Шегрена может затрагивать не только глаза и полость рта. Полезный план помощи объясняет основания диагноза, учитывает важные для вас симптомы и указывает, какие изменения требуют обращения к врачу.
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Suche oczy, jama ustna i ślinianki: szczegółowy przewodnik w chorobie Sjögrena
Codzienna pomoc, leki, ochrona zębów i metody specjalistyczne — z wyjaśnieniem możliwości i ograniczeń każdego podejścia.
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Fatigue, pain and daily function in Sjögren’s disease
A clinical approach to fatigue, pain, sleep, post-exertional worsening and daily function in Sjögren’s disease, with evidence, practical goals and limits of treatment.
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Why Sjögren recommendations differ between countries
How to use guidelines without losing sight of your own symptoms and goals · Checked 23 September 2026
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Болезнь Шегрена: что исследования означают для лечения и восстановления желёз
Механизмы, биомаркеры, персонализация лечения и доказательства регенерации
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Enfermedad de Sjögren: lo esencial
Más que sequedad: comprenda el diagnóstico, proteja la función diaria y conozca qué debe incluir el seguimiento.
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Sjögren: comprender el diagnóstico, los síntomas y las decisiones de tratamiento
Sjögren puede afectar a más órganos que los ojos y la boca. Un plan de atención útil explica en qué se basa el diagnóstico, aborda los síntomas que le importan y señala qué cambios requieren atención médica.
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ACA-positive Sjögren’s disease
Anticentromere-positive Sjögren’s: laboratory interpretation, glandular disease, systemic sclerosis overlap, organ assessment, treatment and current evidence.
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Sjögren’s fatigue, pain and everyday life
Understand fatigue, pain and brain fog in Sjögren’s disease, adapt daily activities and discuss useful treatment goals, with evidence and warning signs.
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Почему рекомендации по болезни Шегрена различаются
Как пользоваться руководствами с учётом своих симптомов и целей · Проверено 23 сентября 2026 года
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Sjögren: qué significa la investigación para el tratamiento y la función glandular
Mecanismos, biomarcadores, tratamiento personalizado y evidencia de regeneración
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Choroba Sjögrena: najważniejsze
Więcej niż suchość: zrozum rozpoznanie, chroń codzienną sprawność i poznaj zasady obserwacji.
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Choroba Sjögrena: jak rozumieć rozpoznanie, objawy i decyzje o leczeniu
Choroba Sjögrena może dotyczyć nie tylko oczu i jamy ustnej. Przydatny plan opieki wyjaśnia podstawy rozpoznania, uwzględnia ważne dla Ciebie objawy i wskazuje zmiany wymagające kontaktu z lekarzem.
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Sjögren’s and anticentromere antibodies
What anticentromere antibodies mean in Sjögren’s: SSA-negative results, scleroderma, dryness, organ tests, treatment and research.
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Усталость, боль и повседневная жизнь при болезни Шегрена
Почему возникают усталость, боль и трудности с концентрацией при болезни Шегрена: обследование, повседневная активность, цели лечения и тревожные признаки.
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Por qué difieren las recomendaciones sobre Sjögren
Cómo usar las guías teniendo en cuenta sus síntomas y objetivos · Revisado el 23 de septiembre de 2026
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Choroba Sjögrena: co badania oznaczają dla leczenia i sprawności gruczołów
Mechanizmy, biomarkery, indywidualizacja leczenia i dowody dotyczące regeneracji
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Nine weeks pregnant with Sjögren’s disease and a positive anti-Ro antibody test
Добавлено 2 окт. 2026 · Клиническая проверка 2 окт. 2026 Heart & VesselsAll patient casesLibrary Previous case ♡ Like Heart & Vessels in Rheumatic Disease — Professional Essentials · Open Essentials
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Systemic Sjögren’s disease: an organ atlas for clinical decisions
Identify the organ lesion, establish a credible mechanism, recognise threats to function and choose an outcome that can show whether treatment is helping.
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Болезнь Шегрена и антицентромерные антитела
Что означают антицентромерные антитела при болезни Шегрена: SSA, склеродермия, сухость, обследования, лечение и исследования.
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Fatiga, dolor y vida cotidiana con Sjögren
Cómo comprender la fatiga, el dolor y las dificultades de concentración con Sjögren, adaptar las actividades y acordar objetivos de tratamiento útiles.
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Dlaczego zalecenia dotyczące choroby Sjögrena się różnią
Jak korzystać z wytycznych, uwzględniając własne objawy i cele · Sprawdzono 23 września 2026 r.
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SJD-02 · Dry to the bone
An interactive Sjögren’s clinical quiz: dry eye, dry mouth, pilocarpine, candidiasis and fatigue. Two runs with lifelines and explanations.
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Beyond dryness: understanding systemic Sjögren’s disease
Learn what different symptoms and tests can show, how clinicians assess organ involvement, and which changes need earlier attention.
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Sjögren y anticuerpos anticentrómero
Qué significan los anticuerpos anticentrómero en Sjögren: SSA, esclerosis sistémica, sequedad, pruebas, tratamiento e investigación.
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Zmęczenie, ból i codzienne życie z chorobą Sjögrena
Zmęczenie, ból i trudności z koncentracją w chorobie Sjögrena: ocena przyczyn, dostosowanie codziennych zajęć, cele leczenia i objawy alarmowe.
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Sjögren clinical trials: results and lessons
Positive, negative and incomplete evidence, read against the actual question · Checked 23 September 2026
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SJD-03 · Referred as “seronegative Sjögren’s”
Prioritise investigations for seronegative sicca and test the referral diagnosis. An interactive clinical case by Olga Goodman, MD, with a work-up budget and eight final decisions.
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За пределами сухости: системные проявления болезни Шегрена
Что могут показать симптомы и исследования, как оценивают поражение органов и какие изменения требуют более раннего внимания.
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Choroba Sjögrena i przeciwciała antycentromerowe
Co oznaczają przeciwciała antycentromerowe w Sjögrenie: SSA, twardzina, suchość, badania, leczenie i nowe badania naukowe.
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Longitudinal monitoring in Sjögren’s disease
Longitudinal Sjögren monitoring: disease activity, organ surveillance, laboratory interpretation, lymphoma assessment, medication safety and an individualized follow-up plan.
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What Sjögren clinical trials really tell us
How to read encouraging findings, negative results and unanswered questions · Checked 23 September 2026
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SJD-04 · Six visits, six domains
Choose organ-directed treatment across six Sjögren’s visits: arthritis, vasculitis, gland swelling, cytopenias, ILD and biologic therapy.
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What Your Tests Can and Cannot Tell You
CPQ-SJD-TESTS. Sjögren disease (SjS, Sjogren syndrome). Patient quiz and interactive module. Seven questions. Open demo; no registration. EN/RU/ES/PL. A diagnosis of Sjögren’s disease is built from several kinds of evidence, and each test answers a different question. Seven questions check how well you can read your own results and what to ask about them. Что могут и чего не могут сказать ваши анализы · Lo que sus pruebas pueden decirle y lo que no · Co mówią Twoje wyniki, a czego nie mówią RVQP1: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The Negative That Wasn’t
RV-SJPRO-01. A laboratory report is a document, not a verdict. Professional Sjögren’s disease (Sjogren syndrome) quiz. Diagnosing Sjögren’s disease: from suspicion to a defensible conclusion. Open demo; EN / RU / ES / PL; no registration required.
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More Than Dry — RheumaPlay
Dry eyes are the opening line, not the whole story. Seven rounds on what Sjögren’s is, how the diagnosis gets built and which changes deserve a phone call.
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First Year with Sjögren’s: Marta
Marta is 47, teaches piano in a flat with excellent radiators and lives with Ferdinand, a large ginger cat who believes the piano is a heated bed. Her eyes have felt gritty since autumn and her mouth is dry enough that scales now come with a glass of water. She blames the heating. The heating has no comment.
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Classification Is Not Diagnosis
CSQ-SJD-DX. Advanced professional Sjögren’s disease (Sjogren syndrome) quiz and interactive module: 2016 ACR/EULAR weights and exclusions, SSA-negative profiles, isolated SSB, anticentromere antibodies (ACA), small-fibre neuropathy with normal NCS, and childhood phenotypes. English. Open demo; no registration required.
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Dermatology–Rheumatology I · Skin clues — Clinical Rounds
Recognize skin and mucosal clues in psoriatic arthritis, systemic sclerosis, dermatomyositis, lupus, Sjögren disease and reactive arthritis.
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Protecting Eyes, Mouth and Teeth
CPQ-SJD-GLANDS. Sjögren disease (SjS, Sjogren syndrome). Patient quiz and interactive module. Seven questions. Open demo; no registration. EN/RU/ES/PL. Comfort and protection are different goals. A treatment can ease dryness and still leave the cornea or the teeth at risk. Seven questions check the practical choices that prevent lasting damage. Как защитить глаза, рот и зубы · Proteger los ojos, la boca y los dientes · Jak chronić oczy, usta i zęby RVQP1: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Four Points and a Lip
RV-SJPRO-02. Classification arithmetic is easy; the denominator is where it bites. Professional Sjögren’s disease (Sjogren syndrome) quiz. Anti-SSA-negative disease and discordant tests. Open demo; EN / RU / ES / PL; no registration required.
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Reading the Report — RheumaPlay
Positive, negative, high, low — a lab report is a text in a foreign language. Seven rounds on antibodies, anticentromere results and what a number can and cannot say.
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First Year with Sjögren’s: Daniel
Daniel is 58, a bus mechanic who has fixed everything that ever broke in the depot and does not see why his own body should be different. His eyes sting in the workshop, and for a few weeks the left side of his jaw has been puffy. He lives with Rocket, a dog of no fixed breed and great enthusiasm, who treats every arrival at the door as the event of the century.
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Name the Lesion Before You Treat It
CSQ-SJD-ORGAN. Advanced professional Sjögren’s disease (Sjogren syndrome) quiz and interactive module: PFTs and HRCT, UIP and LIP with nodules, distal renal tubular acidosis (dRTA), cryoglobulins, vasculitic neuropathy, and parotid gland biopsy. English. Open demo; no registration required.
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Beyond Dryness
CPQ-SJD-SYSTEMIC. Sjögren disease (SjS, Sjogren syndrome). Patient quiz and interactive module. Seven questions. Open demo; no registration. EN/RU/ES/PL. Sjögren’s disease can affect organs far from the eyes and mouth, and the amount of dryness does not predict it. Seven questions check whether you can recognise the symptoms that deserve a specific test, and the ones that should not wait. Не только сухость · Más allá de la sequedad · Nie tylko suchość RVQP1: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