Phys Clinical Cases · rheumatological
Sjögren Syndrome and Inflammatory Myopathies — DCE Clinical Case
DCE long-case and short-case station for Sjögren Syndrome and Inflammatory Myopathies.
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Sjögren Syndrome and Inflammatory Myopathies — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Sjögren Syndrome and Inflammatory Myopathies. [5]
Presenting complaint: Subacute or acute symptoms referable to Sjögren Syndrome and Inflammatory Myopathies, with enough detail to force prioritisation. [6]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [7]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [8]
Examination: Key positives and critical negatives for dangerous differentials. [4]
Investigations: A small set of results that change management. [5]
Tasks
- Present a prioritised problem list. [6]
- Defend investigations and immediate therapy. [7]
- Provide safety-net and follow-up advice. [8]
Model discussion points
- Working diagnosis and acuity. [4]
- Differentials and discriminators. [5]
- Treatment sequence and monitoring. [6]
- Multimorbidity and communication. [7]
References5ShowHide
- [4]Shiboski CH, Shiboski SC, Seror R, et al. 2016 American College of Rheumatology/European League Against Rheumatism Classification Criteria for Primary Sjögren's Syndrome: A Consensus and Data-Driven Methodology Involving Three International Patient Cohorts Arthritis Rheumatol, 2017.PMID 27785888
- [5]Lundberg IE, Tjärnlund A, Bottai M, et al. 2017 European League Against Rheumatism/American College of Rheumatology classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups Ann Rheum Dis, 2017.PMID 29079590
- [6]Alexander T, Roldan E, Del Papa N, Farge D, et al. Autologous haematopoietic stem cell transplantation for rheumatic diseases: best practice recommendations from the EBMT Practice Harmonization and Guidelines Committee Bone Marrow Transplant, 2025.PMID 40830237
- [7]Rüegg L, Pluma A, Hamroun S, Cecchi I, et al. EULAR recommendations for use of antirheumatic drugs in reproduction, pregnancy, and lactation: 2024 update Ann Rheum Dis, 2025.PMID 40287311
- [8]Xanthouli P, Schatz A, Bergner R, Triantafyllias K [Management of pulmonary and cardiovascular comorbidities in rheumatological diseases] Z Rheumatol, 2025.PMID 40736566