Sjögren's Syndrome Diagnostic Panel, Comprehensive

The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Also known as: Keratoconjuntivitis sicca Diagnostic Panel, Comprehensive, Sicca syndrome Diagnostic Panel, Comprehensive, Sjgrens Syndrome Diagnostic Panel Comprehensive, Sjogren's Syndrome Diagnostic Panel, Comprehensive

ANA Pattern

ANA Screen, IFA

The antinuclear antibody (ANA) test is ordered to help screen for autoimmune disorders and is most often used as one of the tests to diagnose systemic lupus erythematosus (SLE).

Anti-Nuclear Ab Titer

Mitochondrial Ab Screen

Mitochondrial Ab Titer

Rheumatoid Factor

Rheumatoid factor (RF) is a blood test that measures the amount of the RF antibody in the blood. An abnormal result means the test is positive, which means higher levels of rheumatoid factor have been detected in your blood. Most patients with rheumatoid arthritis or Sjogren syndrome have positive RF tests. The higher the level, the more likely one of these conditions is present. Not everyone with higher levels of rheumatoid factor has rheumatoid arthritis or Sjogren syndrome.

Sjogren's Antibody (Ss-A)

Sjogren's Antibody (Ss-B)

Thyroid Peroxidase

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The Sjögren's Syndrome Diagnostic Panel, Comprehensive test contains 1 test with 9 biomarkers.

Brief Description: The Comprehensive Sjögren's Syndrome Diagnostic Panel test is a comprehensive and specialized battery of tests aimed at confirming the presence of Sjögren's syndrome, an autoimmune disorder affecting exocrine glands, primarily leading to dry eyes and mouth. This test panel provides a comprehensive evaluation of multiple biomarkers, enhancing diagnostic accuracy and aiding healthcare providers in understanding the extent of the disease.

IMPORTANT:  RELEX Testing by Quest is included in this panel. Quest will execute the tests automatically if any of the following is triggered, and there will be an extra charge for each test that Quest runs. 

If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge.

If Mitochondrial Antibody Screen is positive, then Mitochondrial Antibody Titer will be performed at an additional charge.

Collection Method: Blood Draw

Specimen Type: Serum

Test Preparation: No preparation required

When and Why the Test is Ordered:

A Comprehensive Sjögren's Syndrome Diagnostic Panel test is typically ordered when a patient presents with symptoms indicative of Sjögren's syndrome. These symptoms often include dry eyes, dry mouth, joint pain, and fatigue. As Sjögren's syndrome can mimic other conditions, this panel is sought when the healthcare provider suspects autoimmune involvement but requires a thorough assessment for accurate diagnosis.

What the Test Checks For:

The Comprehensive Sjögren's Syndrome Diagnostic Panel test evaluates various antibodies and biomarkers, including:

  • Antinuclear Antibodies (ANA): Their presence suggests an autoimmune condition.

  • Rheumatoid Factor (RF): Elevated levels may indicate autoimmune activity.

  • SS-A (Ro) and SS-B (La) Antibodies: Their presence indicates an autoimmune response specifically linked to Sjögren's syndrome.

  • Mitochondrial Antibody

  • Thyroid Peroxidase

Other Lab Tests and Their Purpose:

When this diagnostic panel is ordered, it's often part of a broader evaluation for autoimmune disorders and associated symptoms. Here are some tests and examinations commonly ordered alongside it:

  1. Complete Blood Count (CBC) with Differential:

    • Purpose: To evaluate overall blood health.
    • Why Is It Ordered: To check for signs of anemia or other hematological abnormalities often seen in autoimmune disorders.
  2. Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP):

    • Purpose: To measure markers of inflammation.
    • Why Is It Ordered: To assess for systemic inflammation, which can accompany Sjögren's syndrome.
  3. Rheumatoid Factor (RF) and Anti-Cyclic Citrullinated Peptide (Anti-CCP) Antibodies:

    • Purpose: To detect antibodies often associated with rheumatoid arthritis.
    • Why Is It Ordered: To evaluate for overlapping autoimmune conditions, as Sjögren's syndrome can co-occur with other disorders like rheumatoid arthritis.
  4. Thyroid Function Tests:

    • Purpose: To assess thyroid function.
    • Why Is It Ordered: Because thyroid disorders, particularly autoimmune thyroid diseases like Hashimoto's thyroiditis, are more common in individuals with Sjögren's syndrome.
  5. Serum Immunoglobulins (IgG, IgA, IgM):

    • Purpose: To measure the levels of various immunoglobulins.
    • Why Is It Ordered: To assess for hypergammaglobulinemia and potential immunodeficiency, which can be associated with Sjögren's syndrome.

These tests and procedures, when ordered alongside a Comprehensive Sjögren's Syndrome Diagnostic Panel, provide a thorough evaluation for Sjögren's syndrome and related autoimmune conditions. They are crucial for confirming the diagnosis, assessing the extent of organ involvement, ruling out other autoimmune diseases, and guiding appropriate treatment. The specific combination of tests will depend on the individual’s symptoms, clinical presentation, and medical history.

Conditions Requiring the Test:

The Comprehensive Sjögren's Syndrome Diagnostic Panel test is essential for diagnosing:

  • Sjögren's Syndrome: The primary purpose is to confirm the presence of this autoimmune disorder characterized by dry eyes, dry mouth, and potential systemic symptoms.

  • Co-existing Autoimmune Conditions: This panel can also help identify overlaps with other autoimmune disorders like rheumatoid arthritis or systemic lupus erythematosus.

Utilization of Test Results:

The results of the Comprehensive Sjögren's Syndrome Diagnostic Panel test hold crucial implications for patient care:

  • Accurate Diagnosis: A positive panel result, particularly the presence of SS-A and SS-B antibodies, aids in confirming Sjögren's syndrome.

  • Tailored Treatment: Test results guide treatment planning, focusing on symptom management and disease progression.

  • Monitoring: Regular testing monitors the effectiveness of treatment and disease progression.

  • Prognosis: Test outcomes help predict the potential course of the disease and anticipate complications.

  • Research and Advancements: Aggregated data from these comprehensive panels contribute to better understanding the pathophysiology of Sjögren's syndrome and its interactions with the immune system.

In summary, the Comprehensive Sjögren's Syndrome Diagnostic Panel test is a comprehensive tool vital for diagnosing and managing Sjögren's syndrome accurately. It assesses a range of markers to provide a comprehensive view of the patient's condition, enabling healthcare providers to tailor treatment plans and enhance patients' quality of life. It's not just a diagnostic tool; it's an asset in research and advancements in autoimmune disorders.

Most Common Questions About the Comprehenseive Sjögren's Syndrome Diagnostic Panel test:

Purpose and Applications

Why is the Comprehensive Sjögren's Syndrome Diagnostic Panel test ordered?

The Comprehensive Sjögren's Syndrome Diagnostic Panel test is typically ordered to provide a thorough assessment for diagnosing Sjögren's syndrome, an autoimmune disorder. This comprehensive panel can aid in differentiating between primary and secondary Sjögren's syndrome and may be used when patients present with ambiguous symptoms that overlap with other conditions.

What components are usually included in the Comprehensive Sjögren's Syndrome Diagnostic Panel test?

The Comprehensive Sjögren's Syndrome Diagnostic Panel typically includes tests for SS-A (Ro) and SS-B (La) antibodies, antinuclear antibody (ANA) test, rheumatoid factor, and possibly tests related to the function of the salivary and lacrimal glands.

Clinical Significance

How does the Comprehensive Sjögren's Syndrome Diagnostic Panel improve diagnosis compared to individual tests?

The Comprehensive Sjögren's Syndrome Diagnostic Panel provides a more holistic view of a patient's immunological status. By evaluating multiple components at once, the panel increases the accuracy of diagnosis, especially in cases where individual tests might be inconclusive.

Are all components of the Comprehensive Sjögren's Syndrome Diagnostic Panel equally significant?

While all components of the panel contribute to the diagnostic process, not all are equally weighted. For instance, the presence of SS-A and SS-B antibodies is more specific to Sjögren's syndrome. However, all components collectively help in forming a more conclusive diagnosis.


What do positive results in multiple components of the Comprehensive Sjögren's Syndrome Diagnostic Panel indicate?

Positive results in multiple components increase the likelihood of a Sjögren's syndrome diagnosis. However, it's essential to remember that some markers can also be positive in other autoimmune conditions. It's the combination of various positive results, coupled with clinical symptoms, that solidifies the diagnosis.

If some components of the Comprehensive Sjögren's Syndrome Diagnostic Panel are negative, does it rule out the disease?

No, a negative result in one or several components doesn't necessarily rule out Sjögren's syndrome. Some patients might not have detectable levels of certain antibodies or might be in the early stages of the disease. Clinical judgment, considering both test results and symptoms, is crucial.

Additional Considerations

Is the Comprehensive Sjögren's Syndrome Diagnostic Panel recommended for all patients suspected of having Sjögren's syndrome?

While the panel can be beneficial, it might not be necessary for all patients. The decision to order the panel depends on the clinical scenario, the patient's symptom presentation, and the physician's judgment. In some cases, individual tests might suffice.

Are there any conditions or situations where the Comprehensive Sjögren's Syndrome Diagnostic Panel might not be the best diagnostic choice?

Yes, if a patient has a clear clinical presentation of another condition or if previous targeted testing has already confirmed a diagnosis, then the comprehensive panel might not be needed. Additionally, for patients with well-established Sjögren's syndrome, the panel might be redundant.

What's the next step after receiving the results of the Comprehensive Sjögren's Syndrome Diagnostic Panel?

The results of the panel should be discussed with a rheumatologist or an appropriate specialist. They'll interpret the findings in the context of the patient's clinical picture and decide on the next steps, which might include further tests, treatment options, or management strategies.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.

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