Free Shipping on All Orders $75 Or More! Ends Soon.

Your Trusted Brand for Over 35 Years

Health Protocols

Sjögren's Syndrome


Aasarod K, Haga HJ, Berg KJ, Hammerstrom J, Jorstad S. Renal involvement in primary Sjogren's syndrome. QJM: monthly journal of the Association of Physicians. May 2000;93(5):297-304.

Ackermann P, Hetz S, Dieckow J, Schicht M, Richter A, Kruse C, . . . Paulsen FP. Isolation and Investigation of Presumptive Murine Lacrimal Gland Stem Cells. Invest Ophthalmol Vis Sci. Jul 2015;56(8):4350-4363.

Agmon-Levin N, Kivity S, Tzioufas AG, Lopez Hoyos M, Rozman B, Efes I, . . . Shoenfeld Y. Low levels of vitamin-D are associated with neuropathy and lymphoma among patients with Sjogren's syndrome. J Autoimmun. Sep 2012;39(3):234-239.

Aguirre A. Recognizing and Managing the Oral Clues That Point to Sjogren's Syndrome. Medscape women's health. Sep 1997;2(9):2.

Aktan Kosker T, Erten S, Erden E. Lymphoma Associated with Sjogren's Syndrome. Turkish journal of haematology: official journal of Turkish Society of Haematology. Dec 2013;30(4):416-417.

Alenghat FJ. The Prevalence of Atherosclerosis in Those with Inflammatory Connective Tissue Disease by Race, Age, and Traditional Risk Factors. Sci. Rep. 2016;6:20303.

Aloe L, Rocco ML, Balzamino BO, Micera A. Nerve Growth Factor: A Focus on Neuroscience and Therapy. Current neuropharmacology. 2015;13(3):294-303.

Andola SK, Masgal MM, Reddy RM. Diffuse large B-cell lymphoma of the parotid gland: Cytological, histopathological, and immunohistochemical features: A rare case report. Journal of cytology. Oct-Dec 2016;33(4):226-228.

Andres E, Goichot B, Perrin AE, Vinzio S, Demangeat C, Schlienger JL. Sjogren's syndrome: a potential new aetiology of mild cobalamin deficiency. Rheumatology (Oxford, England). Oct 2001;40(10):1196-1197.

Aoun G, Nasseh I, Berberi A. Evaluation of the oral component of Sjögren's syndrome: An overview. Journal of International Society of Preventive & Community Dentistry. Jul-Aug 2016;6(4):278-284.

Aragona P, Spinella R, Rania L, Postorino E, Sommario MS, Roszkowska AM, Puzzolo D. Safety and efficacy of 0.1% clobetasone butyrate eyedrops in the treatment of dry eye in Sjogren syndrome. European journal of ophthalmology. May-Jun 2013;23(3):368-376.

Arman F, Shakeri H, Nobakht N, Rastogi A, Kamgar M. A Case of Kidney Involvement in Primary Sjogren's Syndrome. The American journal of case reports. Jun 03 2017;18:622-626.

Arnson Y, Amital H, Shoenfeld Y. Vitamin D and autoimmunity: new aetiological and therapeutic considerations. Ann Rheum Dis. Sep 2007;66(9):1137-1142.

Bae SH, Shin YJ, Kim HK, Hyon JY, Wee WR, Park SG. Vitamin D Supplementation for Patients with Dry Eye Syndrome Refractory to Conventional Treatment. Sci Rep. Oct 04 2016;6:33083.

Baecklund E, Smedby KE, Sutton LA, Askling J, Rosenquist R. Lymphoma development in patients with autoimmune and inflammatory disorders--what are the driving forces? Semin Cancer Biol. Feb 2014;24:61-70.

Baldini C, Delle Sedie A, Luciano N, Pepe P, Ferro F, Talarico R, . . . Mosca M. Vitamin D in "early" primary Sjogren's syndrome: does it play a role in influencing disease phenotypes? Rheumatology international. Aug 2014;34(8):1159-1164.

Barabino S, Rolando M, Camicione P, Ravera G, Zanardi S, Giuffrida S, Calabria G. Systemic linoleic and gamma-linolenic acid therapy in dry eye syndrome with an inflammatory component. Cornea. Mar 2003;22(2):97-101.

Barone F, Colafrancesco S. Sjogren's syndrome: from pathogenesis to novel therapeutic targets. Clin Exp Rheumatol. Jul-Aug 2016;34(4 Suppl 98):58-62.

Bartoloni E, Baldini C, Schillaci G, Quartuccio L, Priori R, Carubbi F, . . . Gerli R. Cardiovascular disease risk burden in primary Sjogren's syndrome: results of a population-based multicentre cohort study. J Intern Med. Aug 2015;278(2):185-192.

Baruch HH, Firooznia H, Sackler JP, Genieser NB, Rafii M, Golimbu C. Pulmonary disorders associated with Sjogren's syndrome. Revista interamericana de radiologia. Apr 1977;2(2):77-81.

Bate SL, Dollard SC, Cannon MJ. Cytomegalovirus seroprevalence in the United States: the national health and nutrition examination surveys, 1988-2004. Clin Infect Dis. Jun 01 2010;50(11):1439-1447.

Beavers KM, Brinkley TE, Nicklas BJ. Effect of exercise training on chronic inflammation. Clinica chimica acta; international journal of clinical chemistry. Jun 3 2010;411(11-12):785-793.

Belkaid Y, Hand TW. Role of the microbiota in immunity and inflammation. Cell. Mar 27 2014;157(1):121-141.

Bhargava R, Kumar P, Kumar M, Mehra N, Mishra A. A randomized controlled trial of omega-3 fatty acids in dry eye syndrome. International journal of ophthalmology. 2013;6(6):811-816.

Bolstad AI, Skarstein K. Epidemiology of Sjogren's Syndrome-from an Oral Perspective. Current oral health reports. 2016;3(4):328-336.

Brito-Zerón P, Theander E, Baldini C, Seror R, Retamozo S, Quartuccio L, . . . Ramos-Casals M. Early diagnosis of primary Sjogren's syndrome: EULAR-SS task force clinical recommendations. Expert review of clinical immunology. 2016;12(2):137-156.

Brito Zeron P, Kostov BA, Seror R, Baldini C, Quartuccio L, Kvarnstrom M, . . . Ramos-Casals M. FRI0419 Big Data Sjogren Project (Eular-SS Task Force International Network): Systemic Involvement at Diagnosis Evaluated by the Essdai in 3314 Patients with Primary Sjögren Syndrome. Annals of the Rheumatic Diseases. 2015;74(Suppl 2):578-578.

Burton JP, Drummond BK, Chilcott CN, Tagg JR, Thomson WM, Hale JD, Wescombe PA. Influence of the probiotic Streptococcus salivarius strain M18 on indices of dental health in children: a randomized double-blind, placebo-controlled trial. J Med Microbiol. Jun 2013;62(Pt 6):875-884.

Cassolato SF, Turnbull RS. Xerostomia: clinical aspects and treatment. Gerodontology. Dec 2003;20(2):64-77.

Catanzaro J, Dinkel S. Sjogren's syndrome: the hidden disease. Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses. Jul-Aug 2014;23(4):219-223.

Cavet ME, Harrington KL, Vollmer TR, Ward KW, Zhang JZ. Anti-inflammatory and anti-oxidative effects of the green tea polyphenol epigallocatechin gallate in human corneal epithelial cells. Molecular vision. Feb 18 2011;17:533-542.

Chae CS, Kwon HK, Hwang JS, Kim JE, Im SH. Prophylactic effect of probiotics on the development of experimental autoimmune myasthenia gravis. PloS one. 2012;7(12):e52119.

Chang EJ, Im YS, Kay EP, Kim JY, Lee JE, Lee HK. The role of nerve growth factor in hyperosmolar stress induced apoptosis. Journal of cellular physiology. Jul 2008;216(1):69-77.

Chen JC, Lin BB, Hu HW, Lin C, Jin WY, Zhang FB, . . . Chen RJ. NGF accelerates cutaneous wound healing by promoting the migration of dermal fibroblasts via the PI3K/Akt-Rac1-JNK and ERK pathways. BioMed research international. 2014;2014:547187.

Chen W, Cao H, Lin J, Olsen N, Zheng SG. Biomarkers for Primary Sjogren's Syndrome. Genomics, proteomics & bioinformatics. Aug 2015;13(4):219-223.

Chi SL, Acquah KF, Richard MJ, Lee PP, Sloan FA. Longitudinal evidence on punctal plug use in an elderly population. Ophthalmic plastic and reconstructive surgery. Jul-Aug 2012;28(4):289-293.

Chou JP, Effros RB. T cell replicative senescence in human aging. Current pharmaceutical design. 2013;19(9):1680-1698.

Chung WS, Lin CL, Sung FC, Hsu WH, Chen YF, Kao CH. Increased risks of deep vein thrombosis and pulmonary embolism in Sjogren syndrome: a nationwide cohort study. The Journal of rheumatology. May 2014;41(5):909-915.

Coassin M, Lambiase A, Costa N, De Gregorio A, Sgrulletta R, Sacchetti M, . . . Bonini S. Efficacy of topical nerve growth factor treatment in dogs affected by dry eye. Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. Feb 2005;243(2):151-155.

Colafrancesco S, Priori R, Gattamelata A, Picarelli G, Minniti A, Brancatisano F, . . . Valesini G. Myositis in primary Sjogren's syndrome: data from a multicentre cohort. Clin Exp Rheumatol. Jul-Aug 2015;33(4):457-464.

Cruz-Tapias P, Rojas-Villarraga A, Maier-Moore S, Anaya JM. HLA and Sjogren's syndrome susceptibility. A meta-analysis of worldwide studies. Autoimmunity reviews. Feb 2012;11(4):281-287.

D'Souza S, Tong L. Practical issues concerning tear protein assays in dry eye. Eye and vision (London, England). 2014;1:6.

Danjo Y, Lee M, Horimoto K, Hamano T. Ocular surface damage and tear lactoferrin in dry eye syndrome. Acta ophthalmologica. Aug 1994;72(4):433-437.

de Oliveira GLV, Leite AZ, Higuchi BS, Gonzaga MI, Mariano VS. Intestinal dysbiosis and probiotic applications in autoimmune diseases. Immunology. Sep 2017;152(1):1-12.

de Seze J, Delalande S, Fauchais AL, Hachulla E, Stojkovic T, Ferriby D, . . . Vermersch P. Myelopathies secondary to Sjogren's syndrome: treatment with monthly intravenous cyclophosphamide associated with corticosteroids. The Journal of rheumatology. Apr 2006;33(4):709-711.

de Sousa Moraes LF, Grzeskowiak LM, de Sales Teixeira TF, Gouveia Peluzio Mdo C. Intestinal microbiota and probiotics in celiac disease. Clinical microbiology reviews. Jul 2014;27(3):482-489.

De Vita S, Quartuccio L, Seror R, Salvin S, Ravaud P, Fabris M, . . . Mariette X. Efficacy and safety of belimumab given for 12 months in primary Sjogren's syndrome: the BELISS open-label phase II study. Rheumatology (Oxford, England). Dec 2015;54(12):2249-2256.

Deinema LA, Vingrys AJ, Wong CY, Jackson DC, Chinnery HR, Downie LE. A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease. Ophthalmology. Jan 2017;124(1):43-52.

Demirci G, Karaman Erdur S, Ozsutcu M, Eliacik M, Olmuscelik O, Aydin R, Kocabora MS. Dry Eye Assessment in Patients With Vitamin D Deficiency. Eye Contact Lens. Sep 22 2016.

Devendra J, Singh S. Effect of Oral Lactoferrin on Cataract Surgery Induced Dry Eye: A Randomised Controlled Trial. Journal of clinical and diagnostic research: JCDR. Oct 2015;9(10):Nc06-09.

Dickinson D, DeRossi S, Yu H, Thomas C, Kragor C, Paquin B, . . . Hsu S. Epigallocatechin-3-gallate modulates anti-oxidant defense enzyme expression in murine submandibular and pancreatic exocrine gland cells and human HSG cells. Autoimmunity. May 2014;47(3):177-184.

Dickinson D, Yu H, Ohno S, Thomas C, Derossi S, Ma YH, . . . Hsu S. Epigallocatechin-3-gallate prevents autoimmune-associated down- regulation of p21 in salivary gland cells through a p53-independent pathway. Inflammation & allergy drug targets. Feb 2014;13(1):15-24.

Dogru M, Matsumoto Y, Yamamoto Y, Goto E, Saiki M, Shimazaki J, . . . Tsubota K. Lactoferrin in Sjogren's syndrome. Ophthalmology. Dec 2007;114(12):2366-2367.

Draborg AH, Duus K, Houen G. Epstein-Barr virus in systemic autoimmune diseases. Clin Dev Immunol. 2013;2013:535738.

Dubey AK, Handu SS, Dubey S, Sharma P, Sharma KK, Ahmed QM. Belimumab: First targeted biological treatment for systemic lupus erythematosus. Journal of pharmacology & pharmacotherapeutics. Oct 2011;2(4):317-319.

Ebert EC. Gastrointestinal and hepatic manifestations of Sjogren syndrome. Journal of clinical gastroenterology. Jan 2012;46(1):25-30.

Erlichman M. Patient selection criteria for electrostimulation of salivary production in the treatment of xerostomia secondary to Sjogren's syndrome. Health technology assessment reports. 1990(8):1-7.

Erten S, Sahin A, Altunoglu A, Gemcioglu E, Koca C. Comparison of plasma vitamin D levels in patients with Sjogren's syndrome and healthy subjects. International journal of rheumatic diseases. Jan 2015;18(1):70-75.

Ervin AM, Wojciechowski R, Schein O. Punctal occlusion for dry eye syndrome. The Cochrane database of systematic reviews. Sep 08 2010(9):Cd006775.

Espandar G, Moghimi J, Ghorbani R, Pourazizi M, Seiri MA, Khosravi S. Retinal Toxicity in Patients Treated With Hydroxychloroquine: A Cross-Sectional Study. Medical hypothesis, discovery & innovation ophthalmology journal. Summer 2016;5(2):41-46.

Feng Z, Xu J, He G, Cao M, Duan L, Chen L, Wu Z. The Efficacy and Safety of the Combination of Total Glucosides of Peony and Leflunomide for the Treatment of Rheumatoid Arthritis: A Systemic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM. 2016;2016:9852793.

Ferro F, Vagelli R, Bruni C, Cafaro G, Marcucci E, Bartoloni E, Baldini C. One year in review 2016: Sjogren's syndrome. Clin Exp Rheumatol. Mar-Apr 2016;34(2):161-171.

Foulks GN, Forstot SL, Donshik PC, Forstot JZ, Goldstein MH, Lemp MA, . . . Jacobs DS. Clinical guidelines for management of dry eye associated with Sjogren disease. The ocular surface. Apr 2015;13(2):118-132.

Francois H, Mariette X. Renal involvement in primary Sjogren syndrome. Nat Rev Nephrol. Feb 2016;12(2):82-93.

Frosio D. Sjogren Syndrome Foundation. Diet & Food Tips. Copyright 2017. Accessed 5/24/2017.

Funk SD, Yurdagul A, Jr., Orr AW. Hyperglycemia and endothelial dysfunction in atherosclerosis: lessons from type 1 diabetes. International journal of vascular medicine. 2012;2012:569654.

Ganguly P, Alam SF. Role of homocysteine in the development of cardiovascular disease. Nutrition journal. Jan 10 2015;14:6.

Geamanu Panca A, Popa-Cherecheanu A, Marinescu B, Geamanu CD, Voinea LM. Retinal toxicity associated with chronic exposure to hydroxychloroquine and its ocular screening. Review. Journal of medicine and life. Sep 15 2014;7(3):322-326.

Generali E, Cantarini L, Selmi C. Ocular Involvement in Systemic Autoimmune Diseases. Clinical reviews in allergy & immunology. Dec 2015;49(3):263-270.

Gillespie K, Kodani I, Dickinson DP, Ogbureke KU, Camba AM, Wu M, . . . Hsu SD. Effects of oral consumption of the green tea polyphenol EGCG in a murine model for human Sjogren's syndrome, an autoimmune disease. Life sciences. Oct 24 2008;83(17-18):581-588.

Greenbaum J. Topical treatment of allergic rhinitis. Canadian family physician Medecin de famille canadien. Oct 1982;28:1813-1815.

Gromova A, Voronov DA, Yoshida M, Thotakura S, Meech R, Dartt DA, Makarenkova HP. Lacrimal Gland Repair Using Progenitor Cells. Stem cells translational medicine. Aug 15 2016.

Gromova A, Voronov DA, Yoshida M, Thotakura S, Meech R, Dartt DA, Makarenkova HP. Lacrimal Gland Repair Using Progenitor Cells. Stem cells translational medicine. Jan 2017;6(1):88-98.

Hajj-ali R. Merck Manual. Professional Version. Sjögren Syndrome (SS). Last updated 6/2013. Accessed 1/9/2017.

Halenius A, Hengel H. Human cytomegalovirus and autoimmune disease. BioMed research international. 2014;2014:472978.

Hamm-Alvarez SF, Janga SR, Edman MC, Madrigal S, Shah M, Frousiakis SE, . . . Stohl W. Tear cathepsin S as a candidate biomarker for Sjogren's syndrome. Arthritis Rheumatol. Jul 2014;66(7):1872-1881.

Hamming L, van der Meulen R, Vergouwen A, Siegert C. Myelopathy in systemic lupus erythematosus: a case report and a review of the literature. The Netherlands journal of medicine. Jul 2015;73(6):290-292.

He DY, Dai SM. Anti-inflammatory and immunomodulatory effects of paeonia lactiflora pall., a traditional chinese herbal medicine. Frontiers in pharmacology. 2011;2:10.

Hemarajata P, Versalovic J. Effects of probiotics on gut microbiota: mechanisms of intestinal immunomodulation and neuromodulation. Therapeutic advances in gastroenterology. Jan 2013;6(1):39-51.

Hitoe S, Tanaka J, Shimoda H. MaquiBright standardized maqui berry extract significantly increases tear fluid production and ameliorates dry eye-related symptoms in a clinical pilot trial. Panminerva Med. Sep 2014;56(3 Suppl 1):1-6.

Ho M, Jaffe R, Miller G, Breinig MK, Dummer JS, Makowka L, . . . Starzl TE. The frequency of Epstein-Barr virus infection and associated lymphoproliferative syndrome after transplantation and its manifestations in children. Transplantation. Apr 1988;45(4):719-727.

Holdgate N, St Clair EW. Recent advances in primary Sjogren's syndrome. F1000Research. 2016;5.

Hussain M, Shtein RM, Sugar A, Soong HK, Woodward MA, DeLoss K, Mian SI. Long-term use of autologous serum 50% eye drops for the treatment of dry eye disease. Cornea. Dec 2014;33(12):1245-1251.

Ichikawa Y, Takaya M, Saitoh H. Characterization of sicca symptoms in patients with Sjogren's syndrome, and reports of six cases lacking subjective sicca features ("subclinical Sjogren's syndrome"). Tokai J Exp Clin Med. Jul 1981;6(3):229-240.

Igoe A, Scofield RH. Autoimmunity and infection in Sjogren's syndrome. Curr Opin Rheumatol. Jul 2013;25(4):480-487.

Inoue H, Kishimoto A, Ushikoshi-Nakayama R, Hasaka A, Takahashi A, Ryo K, . . . Saito I. Resveratrol improves salivary dysfunction in a non-obese diabetic (NOD) mouse model of Sjogren's syndrome. Journal of clinical biochemistry and nutrition. Sep 2016;59(2):107-112.

Jara LJ, Navarro C, Brito-Zeron Mdel P, Garcia-Carrasco M, Escarcega RO, Ramos-Casals M. Thyroid disease in Sjogren's syndrome. Clin Rheumatol. Oct 2007;26(10):1601-1606.

Javadi MA, Feizi S. Dry eye syndrome. Journal of ophthalmic & vision research. Jul 2011;6(3):192-198.

Jensen SB, Vissink A. Salivary gland dysfunction and xerostomia in Sjogren's syndrome. Oral and maxillofacial surgery clinics of North America. Feb 2014;26(1):35-53.

JHM. Johns Hopkins Medicine. Sjogren's Syndrome Center: Ocular surface staining. Copyright 2017. Accessed 07/10/2017.

Jirsova K, Brejchova K, Krabcova I, Filipec M, Al Fakih A, Palos M, Vesela V. The application of autologous serum eye drops in severe dry eye patients; subjective and objective parameters before and after treatment. Current eye research. Jan 2014;39(1):21-30.

Jonsson MV, Theander E, Jonsson R. Predictors for the development of non-Hodgkin lymphoma in primary Sjogren's syndrome. Presse Med. Sep 2012;41(9 Pt 2):e511-516.

Kaplan MJ, Ike RW. The liver is a common non-exocrine target in primary Sjogren's syndrome: a retrospective review. BMC gastroenterology. Sep 13 2002;2:21.

Kapoor R, Huang YS. Gamma linolenic acid: an antiinflammatory omega-6 fatty acid. Current pharmaceutical biotechnology. Dec 2006;7(6):531-534.

Karczewski J, Poniedzialek B, Adamski Z, Rzymski P. The effects of the microbiota on the host immune system. Autoimmunity. Dec 2014;47(8):494-504.

Karp JK, Akpek EK, Anders RA. Autoimmune hepatitis in patients with primary Sjogren's syndrome: a series of two-hundred and two patients. International journal of clinical and experimental pathology. Mar 25 2010;3(6):582-586.

Kawamura A, Ooyama K, Kojima K, Kachi H, Abe T, Amano K, Aoyama T. Dietary supplementation of gamma-linolenic acid improves skin parameters in subjects with dry skin and mild atopic dermatitis. Journal of oleo science. 2011;60(12):597-607.

Kim-Lee C, Suresh L, Ambrus JL, Jr. Gastrointestinal disease in Sjogren's syndrome: related to food hypersensitivities. Springerplus. 2015;4:766.

Kim DH, Yoo TH, Lee SH, Kang HY, Nam BY, Kwak SJ, . . . Kang SW. Gamma linolenic acid exerts anti-inflammatory and anti-fibrotic effects in diabetic nephropathy. Yonsei medical journal. Nov 01 2012;53(6):1165-1175.

Kim TH, Kang JW, Kim KH, Kang KW, Shin MS, Jung SY, . . . Choi SM. Acupuncture for the treatment of dry eye: a multicenter randomised controlled trial with active comparison intervention (artificial teardrops). PloS one. 2012;7(5):e36638.

Kines K, Krupczak T. Nutritional Interventions for Gastroesophageal Reflux, Irritable Bowel Syndrome, and Hypochlorhydria: A Case Report. Integrative medicine (Encinitas, Calif.). Aug 2016;15(4):49-53.

Konstantinidis I, Paschaloudi S, Triaridis S, Fyrmpas G, Sechlidis S, Constantinidis J. Bilateral multiple sialolithiasis of the parotid gland in a patient with Sjogren's syndrome. Acta otorhinolaryngologica Italica: organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale. Feb 2007;27(1):41-44.

Kuo CF, Grainge MJ, Valdes AM, See LC, Luo SF, Yu KH, . . . Doherty M. Familial Risk of Sjogren's Syndrome and Co-aggregation of Autoimmune Diseases in Affected Families: A Nationwide Population Study. Arthritis Rheumatol. Jul 2015;67(7):1904-1912.

Kurien BT, Scofield RH. Sjogren syndrome. [Monograph]. Last updated 10/5/2017. Accessed 11/28/17.

Kyriakidis NC, Kapsogeorgou EK, Tzioufas AG. A comprehensive review of autoantibodies in primary Sjogren's syndrome: clinical phenotypes and regulatory mechanisms. J Autoimmun. Jun 2014;51:67-74.

Lambiase A, Aloe L, Centofanti M, Parisi V, Bao SN, Mantelli F, . . . Levi-Montalcini R. Experimental and clinical evidence of neuroprotection by nerve growth factor eye drops: Implications for glaucoma. Proceedings of the National Academy of Sciences of the United States of America. Aug 11 2009;106(32):13469-13474.

Lambiase A, Mantelli F, Sacchetti M, Rossi S, Aloe L, Bonini S. Clinical applications of NGF in ocular diseases. Archives italiennes de biologie. Jun 2011;149(2):283-292.

Lancini D, Faddy HM, Flower R, Hogan C. Cytomegalovirus disease in immunocompetent adults. The Medical journal of Australia. Nov 17 2014;201(10):578-580.

Lee HK, Lee KS, Kim HC, Lee SH, Kim EK. Nerve growth factor concentration and implications in photorefractive keratectomy vs laser in situ keratomileusis. American journal of ophthalmology. Jun 2005;139(6):965-971.

Li H, Ice JA, Lessard CJ, Sivils KL. Interferons in Sjogren's Syndrome: Genes, Mechanisms, and Effects. Frontiers in immunology. Sep 20 2013;4:290.

Li H, Sun X, Zhang J, Sun Y, Huo R, Li H, . . . Li N. Paeoniflorin ameliorates symptoms of experimental Sjogren's syndrome associated with down-regulating Cyr61 expression. International immunopharmacology. Jan 2016;30:27-35.

Li M, Zou Y, Jiang Q, Jiang L, Yu Q, Ding X, Yu Y. A preliminary study of the oral microbiota in Chinese patients with Sjogren's syndrome. Archives of oral biology. Oct 2016;70:143-148.

Li N, He J, Schwartz CE, Gjorstrup P, Bazan HE. Resolvin E1 improves tear production and decreases inflammation in a dry eye mouse model. Journal of ocular pharmacology and therapeutics: the official journal of the Association for Ocular Pharmacology and Therapeutics. Oct 2010;26(5):431-439.

Li Z, Choi JH, Oh HJ, Park SH, Lee JB, Yoon KC. Effects of eye drops containing a mixture of omega-3 essential fatty acids and hyaluronic acid on the ocular surface in desiccating stress-induced murine dry eye. Current eye research. Sep 2014;39(9):871-878.

Liden M, Kristjansson G, Valtysdottir S, Hallgren R. Gluten sensitivity in patients with primary Sjogren's syndrome. Scandinavian journal of gastroenterology. Aug 2007;42(8):962-967.

Lin H, Yiu SC. Dry eye disease: A review of diagnostic approaches and treatments. Saudi journal of ophthalmology: official journal of the Saudi Ophthalmological Society. Jul 2014;28(3):173-181.

Lindvall B, Bengtsson A, Ernerudh J, Eriksson P. Subclinical myositis is common in primary Sjogren's syndrome and is not related to muscle pain. The Journal of rheumatology. Apr 2002;29(4):717-725.

Liu A, Ji J. Omega-3 essential fatty acids therapy for dry eye syndrome: a meta-analysis of randomized controlled studies. Med Sci Monit. Sep 06 2014;20:1583-1589.

Lundstrom IM, Lindstrom FD. Iron and vitamin deficiencies, endocrine and immune status in patients with primary Sjogren's syndrome. Oral diseases. May 2001;7(3):144-149.

Mao X, Xing X, Xu R, Gong Q, He Y, Li S, . . . Qu Y. Folic Acid and Vitamins D and B12 Correlate With Homocysteine in Chinese Patients With Type-2 Diabetes Mellitus, Hypertension, or Cardiovascular Disease. Medicine. Feb 2016;95(6):e2652.

Mariette X. Sjogren Syndrome. In: Schafer LGaAI, ed. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier/Saunders; 2016.

Mariette X, Seror R, Quartuccio L, Baron G, Salvin S, Fabris M, . . . De Vita S. Efficacy and safety of belimumab in primary Sjogren's syndrome: results of the BELISS open-label phase II study. Ann Rheum Dis. Mar 2015;74(3):526-531.

Maripuri S, Grande JP, Osborn TG, Fervenza FC, Matteson EL, Donadio JV, Hogan MC. Renal involvement in primary Sjogren's syndrome: a clinicopathologic study. Clinical journal of the American Society of Nephrology: CJASN. Sep 2009;4(9):1423-1431.

Martinez J, Ortiz, MA, Arias JAL, et al. First Consult. Sjoren syndrome. Last updated 4/20/2011. Accessed 1/9/17.

Maslinska M, Kontny E, Kwiatkowska B. The relationship between the presence of autoantibodies, indicators of local and systemic inflammation, the serum concentration of B-cell activating factor (BAFF) and the intensity of salivary gland infiltration in patients with primary Sjogren's syndrome - a preliminary study. Reumatologia. 2015;53(6):321-327.

Maury CP, Tornroth T, Teppo AM. Atrophic gastritis in Sjogren's syndrome. Morphologic, biochemical, and immunologic findings. Arthritis and rheumatism. Apr 1985;28(4):388-394.

Mavragani CP, Moutsopoulos HM. Sjogren syndrome. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. Oct 21 2014;186(15):E579-586.

Mavragani CP, Nezos A, Moutsopoulos HM. New advances in the classification, pathogenesis and treatment of Sjogren's syndrome. Curr Opin Rheumatol. Sep 2013;25(5):623-629.

Mayo Clinic. Diseases and Conditions: Sjogren's Syndrome. Available at Last updated 07/08/2014. Accessed 07/10/2017.

McLean MH, Dieguez D, Jr., Miller LM, Young HA. Does the microbiota play a role in the pathogenesis of autoimmune diseases? Gut. Feb 2015;64(2):332-341.

Mialon P, Barthelemy L, Sebert P, Le Henaff C, Sarni D, Pennec YL, . . . Youinou P. A longitudinal study of lung impairment in patients with primary Sjogren's syndrome. Clin Exp Rheumatol. Jul-Aug 1997;15(4):349-354.

Miljanovic B, Trivedi KA, Dana MR, Gilbard JP, Buring JE, Schaumberg DA. Relation between dietary n-3 and n-6 fatty acids and clinically diagnosed dry eye syndrome in women. The American journal of clinical nutrition. Oct 2005;82(4):887-893.

Miranda-Rius J, Brunet-Llobet L, Lahor-Soler E, Farre M. Salivary Secretory Disorders, Inducing Drugs, and Clinical Management. Int J Med Sci. 2015;12(10):811-824.

Mitsias DI, Kapsogeorgou EK, Moutsopoulos HM. Sjogren's syndrome: why autoimmune epithelitis? Oral diseases. Nov 2006;12(6):523-532.

Mondy P, Brama T, Fisher J, Gemelli CN, Chee K, Keegan A, Waller D. Sustained benefits of autologous serum eye drops on self-reported ocular symptoms and vision-related quality of life in Australian patients with dry eye and corneal epithelial defects. Transfusion and apheresis science: official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis. Dec 2015;53(3):404-411.

Nakamura H, Kawakami A. What is the evidence for Sjogren's syndrome being triggered by viral infection? Subplot: infections that cause clinical features of Sjogren's syndrome. Curr Opin Rheumatol. Jul 2016;28(4):390-397.

Nakamura H, Takahashi Y, Yamamoto-Fukuda T, Horai Y, Nakashima Y, Arima K, . . . Kawakami A. Direct infection of primary salivary gland epithelial cells by human T lymphotropic virus type I in patients with Sjogren's syndrome. Arthritis Rheumatol. Apr 2015;67(4):1096-1106.

Nezos A, Gravani F, Tassidou A, Kapsogeorgou EK, Voulgarelis M, Koutsilieris M, . . . Mavragani CP. Type I and II interferon signatures in Sjogren's syndrome pathogenesis: Contributions in distinct clinical phenotypes and Sjogren's related lymphomagenesis. J Autoimmun. Sep 2015;63:47-58.

Nguyen CQ, Peck AB. Unraveling the pathophysiology of Sjogren syndrome-associated dry eye disease. The ocular surface. Jan 2009;7(1):11-27.

NIH. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Sjögren's Syndrome. Questions and Answers about Sjogren's Syndrome. 9/30/2016a. Accessed 11/28/2017.

NIH. National Heart, Lung, and Blood Institute. Explore Coronary Heart Disease. What Causes Coronary Heart Disease? Last updated 6/22/2016b. Accessed 3/12/2017.

Nilsson AM, Diaz S, Theander E, Hesselstrand R, Piitulainen E, Ekberg O, . . . Mandl T. Chronic obstructive pulmonary disease is common in never-smoking patients with primary Sjogren syndrome. The Journal of rheumatology. Mar 2015;42(3):464-471.

Nishikawa A, Suzuki K, Kassai Y, Gotou Y, Takiguchi M, Miyazaki T, . . . Takeuchi T. Identification of definitive serum biomarkers associated with disease activity in primary Sjogren's syndrome. Arthritis research & therapy. May 14 2016;18(1):106.

Ohno S, Yu H, Dickinson D, Chu TC, Ogbureke K, Derossi S, . . . Hsu S. Epigallocatechin-3-gallate modulates antioxidant and DNA repair-related proteins in exocrine glands of a primary Sjogren's syndrome mouse model prior to disease onset. Autoimmunity. Nov 2012;45(7):540-546.

Ohtsuka E, Nonaka S, Shingu M, Yasuda M, Nobunaga M. Sjogren's syndrome and mixed connective tissue disease. Clin Exp Rheumatol. Jul-Aug 1992;10(4):339-344.

Ohyama Y, Carroll VA, Deshmukh U, Gaskin F, Brown MG, Fu SM. Severe focal sialadenitis and dacryoadenitis in NZM2328 mice induced by MCMV: a novel model for human Sjogren's syndrome. J Immunol. Nov 15 2006;177(10):7391-7397.

Origgi L, Hu C, Bertetti E, Asero R, D'Agostino P, Radelli L, Riboldi P. Antibodies to Epstein-Barr virus and cytomegalovirus in primary Sjogren's syndrome. Bollettino dell'Istituto sieroterapico milanese. 1988;67(4):265-274.

Pan Q, Angelina A, Marrone M, Stark WJ, Akpek EK. Autologous serum eye drops for dry eye. The Cochrane database of systematic reviews. Feb 28 2017;2:Cd009327.

Pan Q, Angelina A, Zambrano A, Marrone M, Stark WJ, Heflin T, . . . Akpek EK. Autologous serum eye drops for dry eye. The Cochrane database of systematic reviews. Aug 27 2013(8):Cd009327.

Pastori V, Tavazzi S, Lecchi M. Lactoferrin-loaded contact lenses: eye protection against oxidative stress. Cornea. Jun 2015;34(6):693-697.

Patel R, Shahane A. The epidemiology of Sjogren's syndrome. Clinical epidemiology. 2014;6:247-255.

Pedro-Botet J, Coll J, Tomas S, Soriano JC, Gutierrez-Cebollada J. Primary Sjogren's syndrome associated with chronic atrophic gastritis and pernicious anemia. Journal of clinical gastroenterology. Mar 1993;16(2):146-148.

Pers JO, Devauchelle V, Daridon C, Bendaoud B, Le Berre R, Bordron A, . . . Youinou P. BAFF-modulated repopulation of B lymphocytes in the blood and salivary glands of rituximab-treated patients with Sjogren's syndrome. Arthritis and rheumatism. May 2007;56(5):1464-1477.

Petrova M, Kamburov V. Epstein-Barr virus: silent companion or causative agent of chronic liver disease? World journal of gastroenterology: WJG. Sep 07 2010;16(33):4130-4134.

Pokorny G, Karacsony G, Lonovics J, Hudak J, Nemeth J, Varro V. Types of atrophic gastritis in patients with primary Sjogren's syndrome. Ann Rheum Dis. Feb 1991;50(2):97-100.

Prelog M. Aging of the immune system: a risk factor for autoimmunity? Autoimmunity reviews. Feb 2006;5(2):136-139.

Qin XY, Wu HT, Cao C, Loh YP, Cheng Y. A meta-analysis of peripheral blood nerve growth factor levels in patients with schizophrenia. Molecular psychiatry. Jan 10 2017.

Quartuccio L, Isola M, Baldini C, Priori R, Bartoloni E, Carubbi F, . . . De Vita S. Clinical and biological differences between cryoglobulinaemic and hypergammaglobulinaemic purpura in primary Sjogren's syndrome: results of a large multicentre study. Scandinavian journal of rheumatology. 2015;44(1):36-41.

Quartuccio L, Salvin S, Corazza L, Gandolfo S, Fabris M, De Vita S. Efficacy of belimumab and targeting of rheumatoid factor-positive B-cell expansion in Sjogren's syndrome: follow-up after the end of the phase II open-label BELISS study. Clin Exp Rheumatol. Mar-Apr 2016;34(2):311-314.

Ramos-Casals M, Brito-Zeron P, Siso-Almirall A, Bosch X, Tzioufas AG. Topical and systemic medications for the treatment of primary Sjogren's syndrome. Nature reviews. Rheumatology. May 01 2012;8(7):399-411.

Rischmueller M, Tieu J, Lester S. Primary Sjogren's syndrome. Best practice & research. Clinical rheumatology. Feb 2016;30(1):189-220.

Roedl JB, Bleich S, Schlotzer-Schrehardt U, von Ahsen N, Kornhuber J, Naumann GO, . . . Junemann AG. Increased homocysteine levels in tear fluid of patients with primary open-angle glaucoma. Ophthalmic research. 2008;40(5):249-256.

Romanucci V, D'Alonzo D, Guaragna A, Di Marino C, Davinelli S, Scapagnini G, . . . Zarrelli A. Bioactive Compounds of Aristotelia chilensis Stuntz and their Pharmacological Effects. Current pharmaceutical biotechnology. 2016;17(6):513-523.

Rubtsov AV, Rubtsova K, Kappler JW, Marrack P. Genetic and hormonal factors in female-biased autoimmunity. Autoimmunity reviews. May 2010;9(7):494-498.

Rushworth GF, Megson IL. Existing and potential therapeutic uses for N-acetylcysteine: the need for conversion to intracellular glutathione for antioxidant benefits. Pharmacology & therapeutics. Feb 2014;141(2):150-159.

Rybickova I, Vesela V, Fales I, Skalicka P, Jirsova K. Apoptosis of conjunctival epithelial cells before and after the application of autologous serum eye drops in severe dry eye disease. Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia. Jun 2016;160(2):271-275.

Saha S, Tomaro-Duchesneau C, Tabrizian M, Prakash S. Probiotics as oral health biotherapeutics. Expert Opin Biol Ther. Sep 2012;12(9):1207-1220.

Salliot C, Mouthon L, Ardizzone M, Sibilia J, Guillevin L, Gottenberg JE, Mariette X. Sjogren's syndrome is associated with and not secondary to systemic sclerosis. Rheumatology (Oxford, England). Feb 2007;46(2):321-326.

Sansoni P, Vescovini R, Fagnoni FF, Akbar A, Arens R, Chiu YL, . . . Nikolich-Zugich J. New advances in CMV and immunosenescence. Experimental gerontology. Jul 2014;55:54-62.

Saraux A, Pers JO, Devauchelle-Pensec V. Treatment of primary Sjogren syndrome. Nature reviews. Rheumatology. Aug 2016;12(8):456-471.

Sargi SC, Dalalio MM, Moraes AG, Visentainer JE, Morais DR, Visentainer JV. Role of omega-3 polyunsaturated fatty acids in the production of prostaglandin E2 and nitric oxide during experimental murine paracoccidioidomycosis. BioMed research international. 2013;2013:947687.

Sarkar PK, Patel N, Furie RA, Talwar A. Pulmonary manifestations of primary Sjogren's syndrome. The Indian journal of chest diseases & allied sciences. Apr-Jun 2009;51(2):93-101.

Savva GM, Pachnio A, Kaul B, Morgan K, Huppert FA, Brayne C, Moss PA. Cytomegalovirus infection is associated with increased mortality in the older population. Aging Cell. Jun 2013;12(3):381-387.

Scariya L, Nagarathna, DV, Varghese, M. Probiotics in periodontal therpay. International Journal of Pharma and Bio Sciences. 2015;6(1):242-250.

Schuster IS, Wikstrom ME, Brizard G, Coudert JD, Estcourt MJ, Manzur M, . . . Degli-Esposti MA. TRAIL+ NK cells control CD4+ T cell responses during chronic viral infection to limit autoimmunity. Immunity. Oct 16 2014;41(4):646-656.

Sekeryapan B, Oner V, Kirbas A, Turkyilmaz K, Durmus M. Plasma homocysteine levels in dry eye patients. Cornea. May 2013;32(5):e94-96.

Selmi C, Meroni PL, Gershwin ME. Primary biliary cirrhosis and Sjogren's syndrome: autoimmune epithelitis. J Autoimmun. Aug 2012;39(1-2):34-42.

Semeraro F, Forbice E, Nascimbeni G, Taglietti M, Romano V, Guerra G, Costagliola C. Effect of Autologous Serum Eye Drops in Patients with Sjogren Syndrome-related Dry Eye: Clinical and In Vivo Confocal Microscopy Evaluation of the Ocular Surface. In vivo (Athens, Greece). 11-12 2016;30(6):931-938.

Seror R, Nocturne G, Lazure T, Hendel-Chavez H, Desmoulins F, Belkhir R, . . . Mariette X. Low numbers of blood and salivary natural killer cells are associated with a better response to belimumab in primary Sjogren's syndrome: results of the BELISS study. Arthritis research & therapy. Sep 04 2015;17:241.

Sheppard JD, Jr., Singh R, McClellan AJ, Weikert MP, Scoper SV, Joly TJ, . . . Pflugfelder SC. Long-term Supplementation With n-6 and n-3 PUFAs Improves Moderate-to-Severe Keratoconjunctivitis Sicca: A Randomized Double-Blind Clinical Trial. Cornea. Oct 2013;32(10):1297-1304.

Shiboski CH, Shiboski SC, Seror R, Criswell LA, Labetoulle M, Lietman TM, . . . Mariette X. 2016 American College of Rheumatology/European League Against Rheumatism classification criteria for primary Sjogren's syndrome: A consensus and data-driven methodology involving three international patient cohorts. Ann Rheum Dis. Jan 2017;76(1):9-16.

Shiboski SC, Shiboski CH, Criswell L, Baer A, Challacombe S, Lanfranchi H, . . . Daniels T. American College of Rheumatology classification criteria for Sjogren's syndrome: a data-driven, expert consensus approach in the Sjogren's International Collaborative Clinical Alliance cohort. Arthritis care & research. Apr 2012;64(4):475-487.

Shikhman AR. The Connection between Gluten Intolerance and Sjogren's Syndrome. Journal of Gluten Sensitivity. Autumn 2011:22-23.

Shillitoe EJ, Daniels TE, Whitcher JP, Vibeke Strand C, Talal N, Greenspan JS. Antibody to cytomegalovirus in patients with Sjogren's syndrome. As determined by an enzyme-linked immunosorbent assay. Arthritis and rheumatism. Mar 1982;25(3):260-265.

Simopoulos AP. The importance of the ratio of omega-6/omega-3 essential fatty acids. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. Oct 2002;56(8):365-379.

Simopoulos AP. An Increase in the Omega-6/Omega-3 Fatty Acid Ratio Increases the Risk for Obesity. Nutrients. Mar 02 2016;8(3):128.

Smith MG. Propagation in tissue cultures of a cytopathogenic virus from human salivary gland virus (SGV) disease. Proc Soc Exp Biol Med. Jun 1956;92(2):424-430.

Sobhani I, Brousse N, Vissuzaine C, McIntyre E, Marmuse JP, Kahn MF, . . . Mignon M. A diffuse T lymphocytic gastrointestinal mucosal infiltration associated with Sjogren's syndrome resulting in a watery diarrhea syndrome and responsive to immunosuppressive therapy. Am J Gastroenterol. Dec 1998;93(12):2584-2586.

Solana R, Tarazona R, Aiello AE, Akbar AN, Appay V, Beswick M, . . . Pawelec G. CMV and Immunosenescence: from basics to clinics. Immunity & ageing: I & A. Oct 31 2012;9(1):23.

Soni NG, Jeng BH. Blood-derived topical therapy for ocular surface diseases. Br J Ophthalmol. Jan 2016;100(1):22-27.

Srivastava A. Belimumab in Systemic Lupus Erythematosus. Indian J Dermatol. Sep-Oct 2016;61(5):550-553.

Stalenheim G, Gudbjornsson B. Anti-inflammatory drugs do not alleviate bronchial hyperreactivity in Sjogren's syndrome. Allergy. Apr 1997;52(4):423-427.

Stanger O, Fowler B, Piertzik K, Huemer M, Haschke-Becher E, Semmler A, . . . Linnebank M. Homocysteine, folate and vitamin B12 in neuropsychiatric diseases: review and treatment recommendations. Expert review of neurotherapeutics. Sep 2009;9(9):1393-1412.

Stefanski AL, Tomiak C, Pleyer U, Dietrich T, Burmester GR, Dorner T. The Diagnosis and Treatment of Sjogren's Syndrome. Deutsches Arzteblatt international. May 26 2017;114(20):354-361.

Strombeck B, Jacobsson LT. The role of exercise in the rehabilitation of patients with systemic lupus erythematosus and patients with primary Sjogren's syndrome. Curr Opin Rheumatol. Mar 2007;19(2):197-203.

Strombeck BE, Theander E, Jacobsson LT. Effects of exercise on aerobic capacity and fatigue in women with primary Sjogren's syndrome. Rheumatology (Oxford, England). May 2007;46(5):868-871.

Sugaya T, Sakai H, Sugiyama T, Imai K. [Atrophic gastritis in Sjogren's syndrome]. Nihon rinsho. Japanese journal of clinical medicine. Oct 1995;53(10):2540-2544.

Svajger U, Jeras M. Anti-inflammatory effects of resveratrol and its potential use in therapy of immune-mediated diseases. Int Rev Immunol. Jun 2012;31(3):202-222.

Takakura AC, Moreira TS, Laitano SC, De Luca Junior LA, Renzi A, Menani JV. Central muscarinic receptors signal pilocarpine-induced salivation. Journal of dental research. Dec 2003;82(12):993-997.

Takano S, Uchida K, Inoue G, Miyagi M, Aikawa J, Iwase D, . . . Takaso M. Nerve growth factor regulation and production by macrophages in osteoarthritic synovium. Clinical and experimental immunology. Nov 2017;190(2):235-243.

Terzulli M, Contreras-Ruiz L, Kugadas A, Masli S, Gadjeva M. TSP-1 Deficiency Alters Ocular Microbiota: Implications for Sjogren's Syndrome Pathogenesis. Journal of ocular pharmacology and therapeutics: the official journal of the Association for Ocular Pharmacology and Therapeutics. Sep 2015;31(7):413-418.

Thewissen M, Linsen L, Somers V, Geusens P, Raus J, Stinissen P. Premature immunosenescence in rheumatoid arthritis and multiple sclerosis patients. Annals of the New York Academy of Sciences. Jun 2005;1051:255-262.

Tincani A, Andreoli L, Cavazzana I, Doria A, Favero M, Fenini MG, . . . Shoenfeld Y. Novel aspects of Sjogren's syndrome in 2012. BMC medicine. Apr 04 2013;11:93.

Tiwari S, Ali MJ, Vemuganti GK. Human lacrimal gland regeneration: Perspectives and review of literature. Saudi journal of ophthalmology: official journal of the Saudi Ophthalmological Society. Jan 2014;28(1):12-18.

Tobon GJ, Pers JO, Devauchelle-Pensec V, Youinou P. Neurological Disorders in Primary Sjogren's Syndrome. Autoimmune diseases. 2012;2012:645967.

Towfighi A, Arshi B, Markovic D, Ovbiagele B. Homocysteine-lowering therapy and risk of recurrent stroke, myocardial infarction and death: the impact of age in the VISP trial. Cerebrovasc Dis. 2014;37(4):263-267.

Ullah I, Subbarao RB, Rho GJ. Human mesenchymal stem cells - current trends and future prospective. Bioscience reports. Apr 28 2015;35(2).

Urzua CA, Vasquez DH, Huidobro A, Hernandez H, Alfaro J. Randomized double-blind clinical trial of autologous serum versus artificial tears in dry eye syndrome. Current eye research. Aug 2012;37(8):684-688.

Valim V, Trevisani VF, Pasoto SG, Serrano EV, Ribeiro SL, Fidelix TS, . . . Bernardo WM. Recommendations for the treatment of Sjogren's syndrome. Revista brasileira de reumatologia. Sep-Oct 2015;55(5):446-457.

Varani S, Landini MP. Cytomegalovirus-induced immunopathology and its clinical consequences. Herpesviridae. Apr 07 2011;2(1):6.

Villa A, Connell CL, Abati S. Diagnosis and management of xerostomia and hyposalivation. Therapeutics and clinical risk management. 2015;11:45-51.

Vita JA. Endothelial function and clinical outcome. Heart (British Cardiac Society). Oct 2005;91(10):1278-1279.

Vivino FB, Carsons SE, Foulks G, Daniels TE, Parke A, Brennan MT, . . . Hammitt KM. New Treatment Guidelines for Sjogren's Disease. Rheumatic diseases clinics of North America. Aug 2016;42(3):531-551.

Vogel HJ. Lactoferrin, a bird's eye view. Biochemistry and cell biology = Biochimie et biologie cellulaire. Jun 2012;90(3):233-244.

Volter F, Fain O, Mathieu E, Thomas M. Esophageal function and Sjogren's syndrome. Digestive diseases and sciences. Feb 2004;49(2):248-253.

Vrethem M, Lindvall B, Holmgren H, Henriksson KG, Lindstrom F, Ernerudh J. Neuropathy and myopathy in primary Sjogren's syndrome: neurophysiological, immunological and muscle biopsy results. Acta Neurol Scand. Aug 1990;82(2):126-131.

Walters MT, Rubin CE, Keightley SJ, Ward CD, Cawley MI. A double-blind, cross-over, study of oral N-acetylcysteine in Sjogren's syndrome. Scandinavian journal of rheumatology. Supplement. 1986;61:253-258.

Wang YN, Zhang Y, Wang Y, Zhu DX, Xu LQ, Fang H, Wu W. The beneficial effect of total glucosides of paeony on psoriatic arthritis links to circulating Tregs and Th1 cell function. Phytotherapy research: PTR. Mar 2014;28(3):372-381.

Watson RR, Schonlau F. Nutraceutical and antioxidant effects of a delphinidin-rich maqui berry extract Delphinol(R): a review. Minerva cardioangiologica. Apr 2015;63(2 Suppl 1):1-12.

Wilkinson K. Sjogren's Syndrome Foundation. Patient Education Sheet: Anti-Inflammatory Diet. Accessed 5/24/2017.

Wong JK, Nortley R, Andrews T, D'Cruz D. Psychiatric manifestations of primary Sjogren's syndrome: a case report and literature review. BMJ case reports. May 23 2014;2014.

Wright AD, Martin N, Dodson PM. Homocysteine, folates, and the eye. Eye. Aug 2008;22(8):989-993.

Wu G, Wu N, Li T, Lu W, Yu G. Total glucosides of peony ameliorates Sjogren's syndrome by affecting Th1/Th2 cytokine balance Experimental and therapeutic medicine. Mar 2016;11(3):1135-1141.

Xu J, Wang D, Liu D, Fan Z, Zhang H, Liu O, . . . Wang S. Allogeneic mesenchymal stem cell treatment alleviates experimental and clinical Sjogren syndrome. Blood. Oct 11 2012;120(15):3142-3151.

Yadlapati S, Efthimiou P. Autoimmune/Inflammatory Arthritis Associated Lymphomas: Who Is at Risk? BioMed research international. 2016;2016:8631061.

Yang D, Qiao L, Zhao LD. [Cerebral infarction in a patient with primary Sjogren's syndrome: a case report and literature review]. Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences. Dec 18 2016;48(6):1077-1080.

Yang L, Yang Z, Yu H, Song H. Acupuncture therapy is more effective than artificial tears for dry eye syndrome: evidence based on a meta-analysis. Evidence-based complementary and alternative medicine: eCAM. 2015;2015:143858.

Yapa SW, Roth D, Gordon D, Struemper H. Comparison of intravenous and subcutaneous exposure supporting dose selection of subcutaneous belimumab systemic lupus erythematosus Phase 3 program. Lupus. Nov 2016;25(13):1448-1455.

Yildirim P, Garip Y, Karci AA, Guler T. Dry eye in vitamin D deficiency: more than an incidental association. International journal of rheumatic diseases. Jan 2016;19(1):49-54.

Zhang HF, Hou P, Xiao WG. [Clinical observation on effect of total glucosides of paeony in treating patients with non-systemic involved Sjogren syndrome]. Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine / Zhongguo Zhong xi yi jie he xue hui, Zhongguo Zhong yi yan jiu yuan zhu ban. Jul 2007;27(7):596-598.

Zhou Y, Jin L, Kong F, Zhang H, Fang X, Chen Z, . . . Li X. Clinical and immunological consequences of total glucosides of paeony treatment in Sjogren's syndrome: A randomized controlled pilot trial. International immunopharmacology. Oct 2016;39:314-319.

Ziavra N, Politi EN, Kastanioudakis I, Skevas A, Drosos AA. Hearing loss in Sjogren's syndrome patients. A comparative study. Clin Exp Rheumatol. Nov-Dec 2000;18(6):725-728.