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Diagnostic criteria for primary Sjögren's disease

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At least one symptom of ocular or oral dryness
No
Yes
Labial salivary gland with focal lymphocytic sialadenitis and focus score of ≥ 1 on biopsy
No
Yes
Positive anti-Sjögren's-syndrome-related antigen A autoantibodies
No
Yes
Ocular staining score ≥ 5 or van Bijsterfeld score ≥ 4 on at least 1 eye
No
Yes
Schirmer's tests ≤ 5 mm/5 min on at least 1 eye
No
Yes
Unstimulated whole saliva flow rate is ≤ 0.1 mL/min
No
Yes
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