Last update: June 10, 2018

Maternal Sjögren syndrome

Very Low Risk for breastfeeding


Safe. Compatible.
Not risky for breastfeeding or infant.

An autoimmune inflammatory disease affecting the salivary glands, lacrimal glands and other moisture producers that causes irritation and dry mouth and eyes. It can also affect joints, skin, vagina, lung, muscles, liver or kidney (MedlinePlus 2017).
It can be primary or secondary to other inflammatory autoimmune diseases such as rheumatoid arthritis, lupus or scleroderma.

It is much more common (90%) in women. It may worsen (10% of cases) during pregnancy and 5% of newborns may have heart block (Priori 2013).

Like other inflammatory autoimmune diseases, it may be accompanied by Raynaud's Phenomenon in hands (Isenberg 1995), but not usually in nipples.

There may be mild hyperprolactinemia (Jara 2011, Gutiérrez 1994) which has not been found in other observations (Karakus 2017).

The mammary gland is not affected. Normal breastfeeding has been observed in women affected by this disease, with 32% of women still breastfeeding at 6 months and 8% at one year (Priori 2013).

The required treatment is usually topical (artificial tears, ocular and vaginal lubricants, oral salivation stimulants) and are compatible with breastfeeding. If other inflammatory diseases coexist, refer to the required medication.

Expert authors do not contraindicate breastfeeding (Lawrence 2017 p.595).


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Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
It is not intended to replace the relationship you have with your doctor but to compound it.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

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Other names

Maternal Sjögren syndrome is also known as


Maternal Sjögren syndrome in other languages or writings:

Group

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References

  1. Karakus S, Sahin A, Durmaz Y, Aydin H, Yildiz C, Akkar O, Dogan M, Cengiz A, Cetin M, Cetin A. Evaluation of ovarian reserve using anti-müllerian hormone and antral follicle count in Sjögren's syndrome: Preliminary study. J Obstet Gynaecol Res. 2017 Abstract
  2. MedlinePlus. Síndrome de Sjögren. Enciclopedia médica. 2017 Full text (link to original source) Full text (in our servers)
  3. MedlinePlus Sjögren syndrome. Medical Encyclopedia 2017 Full text (link to original source) Full text (in our servers)
  4. Priori R, Gattamelata A, Modesti M, Colafrancesco S, Frisenda S, Minniti A, Framarino-dei-Malatesta M, Maset M, Quartuccio L, De Vita S, Bartoloni E, Alunno A, Gerli R, Strigini F, Baldini C, Tani C, Mosca M, Bombardieri S, Valesini G. Outcome of pregnancy in Italian patients with primary Sjögren syndrome. J Rheumatol. 2013 Abstract
  5. Jara LJ, Medina G, Saavedra MA, Vera-Lastra O, Navarro C. Prolactin and autoimmunity. Clin Rev Allergy Immunol. 2011 Abstract
  6. Isenberg DA, Black C. ABC of rheumatology. Raynaud's phenomenon, scleroderma, and overlap syndromes. BMJ. 1995 Abstract
  7. Gutiérrez MA, Anaya JM, Scopelitis E, Citera G, Silveira L, Espinoza LR. Hyperprolactinaemia in primary Sjögren's syndrome. Ann Rheum Dis. 1994 Abstract

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