TABLE 2

Screening pulmonary manifestations of Sjögren's syndrome

When Sjögren's syndrome is known, ILD screening should be systematic	When ILD is known, Sjögren's syndrome screening must be systematic
Investigate respiratory symptoms (dyspnoea, cough, crackles and squeaks, clubbing) Exclude an infectious, medication (www.pneumotox.com) or cardiovascular cause Confirm ILD by performing chest computed tomography Consultation with a lung specialist to discuss bronchoscopy with BAL, histological sampling (transbronchial and surgical biopsy) and therapeutic care	Investigate extra-respiratory symptoms suggestive of Sjögren's syndrome (keratoconjunctivitis sicca, swelling of the salivary glands or hyposialia, arthritis, arthralgia), perform a minor salivary gland biopsy and do a urine analysis Investigate antinuclear antibodies, rheumatoid factor, SSA/Ro and SSB/La, and perform serum protein electrophoresis Exclude another connective tissue disease Confirm dry eyes and dry mouth
	Consult a connective tissue disease expert to discuss therapeutic care