Sjogren's Syndrome?

Posted by di341 @di341, Mar 25 11:24pm

Hello,

Man, this aging process....... Thank you for taking time to try to help!

I have a positive ANA and run a higher CRP number, I have for many years. Other than Osteoarthritis, no other autoimmune diseases have been identified. My health is good over all.

Last month I had, what I refer to as a "flare". My whole body was in pain for over a week. I went into my PCP who I've had for decades. Once again she ran blood tests looking for clues.

My CRP had jumped from a previous high of 7 mg/L to 80 mg/L!!!!!!!!!

The only clue was the test for Sjogren's Ab. My result was Sjogren's Anti-SS-A was over 8.0, normal range being 0.0-0.9. The Anti-SS-B was normal range at less than 0.2.

My question is do you need both Anti-SS-A and B to have Sjogren's? Only my A is high. That in addition to a CRP of 80, which I know is very high.

Medicine is such a process of elimination!! Any thoughts you can share with me?

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

Hello @di341, I did find some information on the topic that may be helpful.

"SS-B antibodies are less common, being found in approximately 30-50% of Sjögren's syndrome patients. SS-A antibodies thus occur commonly by themselves. However, it is very uncommon for SS-B antibodies to occur alone. Accordingly, 20-40% of Sjögren's syndrome patients may lack SS-A and/or SS-B antibodies."
-- Blood and Urine Tests - Johns Hopkins Sjögren's Center: https://www.hopkinssjogrens.org/disease-information/diagnosis-sjogrens-syndrome/blood-and-urine-tests/

Have you thought about seeking help at a local teaching hospital or major health facility like Mayo Clinic?

REPLY

Thank you, John! That is so amazing of you to find for me! These autoimmune diseases are so elusive and hard to DX. I think my doctor is thinking of it as a "working title", as in a movie script. Assuming its presence but not completely convinced. I have cataracts and allergies which produce dry eyes and mouths by taking those meds. So not sure what to attribute the dryness to and the mystery continues. I wonder how high a number in the SS-A antibodies is indicative for Sjogren's without much doubt and does it point to anything else. On with the quest.

I live near UCSF.

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@di341

Thank you, John! That is so amazing of you to find for me! These autoimmune diseases are so elusive and hard to DX. I think my doctor is thinking of it as a "working title", as in a movie script. Assuming its presence but not completely convinced. I have cataracts and allergies which produce dry eyes and mouths by taking those meds. So not sure what to attribute the dryness to and the mystery continues. I wonder how high a number in the SS-A antibodies is indicative for Sjogren's without much doubt and does it point to anything else. On with the quest.

I live near UCSF.

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@di341, Hoping you find some answers on your health journey. There are quite a few other discussions on Sjogren's along with many comments by members. You might find it helpful to scan through some of the discussions and comments. Here is a link for the search results: https://connect.mayoclinic.org/search/?search=Sjogren%27s.

Can you keep us updated on your quest to find answers?

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