title: Juvenile Sjögren syndrome: distinctive age, unique findings.
abstract: Juvenile Sjögren's syndrome is a rare condition that affects children and adolescents with distinctive clinical features. Parotid swelling usually precedes regular oral and ocular symptoms, while typical serological findings may be absent. Hence, diagnosing juvenile Sjögren's  syndrome may be challenging to the attending pediatric dentist, and long-term management without proper diagnosis may be jeopardized. The purpose of this report was to detail the features of an adolescent with primary Sjögren's syndrome diagnosed 12 years after the onset of the disease.  An updated literature review highlighted the unusual aspects of the pediatric form of the disease.
authors.affiliation: Oral Medicine Unit, Postgraduate Program in Dentistry, The Federal University of Pernambuco, Recife, Pernambuco, Brazil.
authors.forename: Thayse Rodrigues
authors.initials: TR
authors.lastname: de Souza
authors.forename: Igor Henrique Morais
authors.initials: IH
authors.lastname: Silva
authors.forename: Alessandra Tavares
authors.initials: AT
authors.lastname: Carvalho
authors.forename: Valder Barbosa
authors.initials: VB
authors.lastname: Gomes
authors.forename: Angela Pinto
authors.initials: AP
authors.lastname: Duarte
authors.forename: Jair Carneiro
authors.initials: JC
authors.lastname: Leão
authors.forename: Luiz Alcino
authors.initials: LA
authors.lastname: Gueiros
mesh_terms: D000293:Adolescent; D017668:Age of Onset; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D018721:Muscarinic Agonists / Q000627:therapeutic use; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000473:pathology; D010862:Pilocarpine / Q000627:therapeutic use; D012217:Rheumatoid Factor / Q000032:analysis; D012463:Saliva / Q000378:metabolism; D012636:Secretory Rate; D012859:Sjogren's Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D014463:Ultrasonography
chemical_list: D018721:Muscarinic Agonists; D010862:Pilocarpine; D012217:Rheumatoid Factor