Autoimmune salivary gland disorders, such as Sjögren's syndrome, occur when your body's immune system mistakenly attacks its own salivary glands, leading to chronic dry mouth and gland swelling. A definitive diagnosis is crucial for proper, long-term management and requires a specialized evaluation. At ENT Central in Palmerston North, Dr. Naveed Basheeth plays a key diagnostic role, performing essential procedures to confirm the condition and help guide your journey to comprehensive care.
What is a minor salivary gland biopsy? Is it a major operation?
No, it is a very minor procedure performed in the clinic rooms under local anaesthetic. A small incision is made on the inside of your lower lip to remove 4-5 tiny salivary glands, each the size of a pinhead. The incision is then closed with a few small, dissolvable stitches.
If I have Sjögren's syndrome, will you be my main doctor for it?
While Dr. Basheeth is crucial for the diagnosis and can help manage your oral symptoms, Sjögren's syndrome is a systemic disease that affects the whole body. It is best managed long-term by a rheumatologist, who will act as your main doctor for the condition. Dr. Basheeth is a key part of this collaborative care team.
Can these conditions cause more than just dry mouth and eyes?
Yes. Because they are systemic autoimmune diseases, they can affect other parts of the body. Many patients experience significant fatigue, joint and muscle pain, skin rashes, and, less commonly, issues with other internal organs. This is why management by a rheumatologist is so important.
Are blood tests enough to diagnose Sjögren's syndrome?
Specific blood tests can detect autoantibodies (like anti-SSA/Ro and anti-SSB/La) that are often, but not always, present in people with Sjögren's syndrome. A significant number of patients may have the condition with negative blood tests, which is why a lip biopsy is often the gold standard for reaching a definitive diagnosis.