Table 1

An overview of three sets of classification criteria for patients Sjögren's syndrome

Name and year first introducedAmerican-European consensus group 2002*5Japanese expert group 1999†6Copenhagen 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 symptomsYesNoNo
Require objective oral symptomsYesNoNo
Minimum number of abnormal oral objective tests required for the  diagnosis of KCS122
How many abnormal objective tests required for the diagnosis of  stomatitis sicca?122
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 requirementNot mandatoryNot mandatory
Will usually miss past and/or present cigarette smokers?YesNoNo