This report documents a rare case of Sjögren's Syndrome which began in a child with juvenile rheumatoid arthritis at the age 10 years, followed by the symptoms of xerostomia with intermittent salivary gland swelling 15 months later. By age 12 the patient had developed keratoconjunctivitis sicca. Variations in the intensity of each component of Sjögren's syndrome were noted to be independent of each other.
Duncan, Howard; Epker, Bruce N.; and Sheldon, Gerald M.
"Sjögren's Syndrome In Childhood: Report of a Case,"
Henry Ford Hospital Medical Journal
: Vol. 17
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol17/iss1/6