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BACKGROUND: Sjögren’s syndrome is a slowly progressive inflammatory disorder that involves the exocrine glands (lacrimal glands and salivary glands) leading to the dryness of the eyes and mouth. It is a rare condition that is seen commonly in females of the middle age.
OBJECTIVE: To present challenges encountered during the management of oral symptoms in a patient with Sjögren’s syndrome.
CASE REPORT: A 46-year-old female Nigerian Patient who presented with bilateral facial swelling with complaint of dry eyes, dry mouth, and knee joint pain. Investigations done using sialography with contrast medium of the left parotid and Schirmer’s test of both eyes were diagnostic of Sjögren’s syndrome. Proper treatment could not be instituted until about one year after the patient’s initial presentation due to the non-availability of the required medications in the country.
CONCLUSION: Poor access to the recommended medications for the treatment of patients with Sjogren’s syndrome poses a challenge to the clinician, rendering such patients helpless and unsatisfied.