Name and year first introduced | American-European consensus group 2002*5 | Japanese expert group 1999†6 | Copenhagen criteria 1974–75‡4 |
---|---|---|---|
KCS, keratoconjunctivitis sicca; FS, focus score in lower lip biopsy. | |||
*For the diagnosis of primary SS, positive anti-SSA/SSB autoantibodies and/or abnormal FS is mandatory plus at least four of six items; †For the diagnosis of primary SS, two of four different items should be positive; ‡For the diagnosis of primary SS, two abnormal functional tests from the eyes and mouth are required. | |||
Require subjective ocular symptoms | Yes | No | No |
Require objective oral symptoms | Yes | No | No |
Minimum number of abnormal oral objective tests required for the diagnosis of KCS | 1 | 2 | 2 |
How many abnormal objective tests required for the diagnosis of stomatitis sicca? | 1 | 2 | 2 |
Requirement for abnormal FS? | ≥1 focus per 4 mm2 | ≥1 focus per 4 mm2 | >1 focus per 4 mm2 |
Positive anti-SSA/SSB autoantibodies and or abnormal FS? | Absolute requirement | Not mandatory | Not mandatory |
Will usually miss past and/or present cigarette smokers? | Yes | No | No |