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Sjögren Syndrome is an autoimmune disorder that primarily affects the glands responsible for producing tears and saliva, leading to chronic dry eyes and dry mouth. It is caused by the immune system mistakenly attacking moisture-producing glands, with specific autoantibodies like anti-SSA (Ro) and anti-SSB (La) present in most cases. The Anti-Cyclic Citrullinated Peptide 3 (Anti-CCP3) IgG test is the most important test when overlap syndromes with Rheumatoid Arthritis are suspected.
Sjögren Syndrome is caused by the immune system mistakenly attacking the body's own moisture-producing glands, particularly the lacrimal glands that make tears and salivary glands that produce saliva. This autoimmune attack is characterized by the presence of specific autoantibodies, including anti-SSA (Ro) and anti-SSB (La), which are found in 40-60% of patients. The exact trigger for this immune system malfunction is not fully understood, but genetic factors, hormonal influences, and possibly viral infections like Epstein-Barr virus may play a role in its development.
The Anti-Cyclic Citrullinated Peptide 3 (Anti-CCP3) IgG test is the most important test for Sjögren Syndrome when overlap with Rheumatoid Arthritis is suspected because it detects CCP antibodies that may be present in patients with both conditions. While the primary diagnostic tests for Sjögren Syndrome are anti-SSA (Ro) and anti-SSB (La) antibodies, the Anti-CCP3 test becomes essential when patients show symptoms of both autoimmune disorders, such as joint pain combined with dry eyes and mouth. This test helps identify overlap syndromes and guides your healthcare provider in developing a comprehensive treatment plan that addresses both conditions.
You should get tested if you experience persistent dry eyes that feel gritty or burning, chronic dry mouth that makes swallowing or speaking difficult, or unexplained joint pain and swelling. Testing becomes especially important if you already have another autoimmune condition like lupus or rheumatoid arthritis, as Sjögren Syndrome often occurs alongside these disorders. You should also consider testing if you have dental problems like frequent cavities despite good oral hygiene, swollen salivary glands, or persistent fatigue that interferes with daily activities.
What this means
Your test came back negative, meaning no Anti-CCP antibodies were detected in your blood. This makes rheumatoid arthritis less likely, though it doesn't completely rule it out since some people with RA can be seronegative. This is a reassuring result.
Recommended actions
Continue monitoring joint symptoms and report any changes to your doctor
Maintain an anti-inflammatory diet rich in omega-3s and colorful vegetables
Stay physically active with regular low-impact exercise like walking or swimming
If joint symptoms persist or worsen, discuss additional testing with your healthcare provider
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