We report on three patients who presented with polymyalgia but on subsequent clinical and laboratory assessment showed findings consistent with primary Sjögren’s syndrome.

Clinical, immunological, and genetic differences exist now to classify Sjögren’s syndrome (SS) more clearly into primary and secondary SS than in the past.1 ,2 Primary SS patients can present with a plethora of symptoms although most patients present with sicca complaints, lethargy or arthralgia. Polymyalgia, as presenting complaints of primary SS, has not been reported previously.

Our patients presented during a two year period with proximal aching and stiffness associated with a raised erythrocyte sedimentation rate (ESR) and all three responded characteristically as in polymyalgia rheumatica (PMR) patients to oral prednisolone therapy.3Subsequent investigations and clinical evaluations (table 1) however raised …