Was an active runner, but stopped running due to worsening knee pain
Scaled back involvement at home
Skipped several work trips as her symptoms progressed

“To ensure her disease is being adequately evaluated, I would order additional lab tests including SPEP, cryoglobulins, free light chains, immunoglobulins, and total complement activity.”
Eric Anderson, MD, RhMSUS
Dr Anderson was compensated for his time by Novartis Pharmaceuticals Corporation.
ANA, antinuclear antibody; C3, complement component 3; C4, complement component 4; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; ESSDAI, EULAR Sjögren’s syndrome disease activity index; EULAR, European Alliance of Associations for Rheumatology; IBS, irritable bowel syndrome; IgG, immunoglobulin G; PCP, primary care provider; SPEP, serum protein electrophoresis; SSA, Sjögren's syndrome type A; UWSFR, unstimulated whole salivary flow rate.
ANA, antinuclear antibody; C3, complement component 3; C4, complement component 4; CRP, C-reactive protein; ESR, erythrocyte sedimentation rate; ESSDAI, EULAR Sjögren’s syndrome disease activity index; EULAR, European Alliance of Associations for Rheumatology; IBS, irritable bowel syndrome; IgG, immunoglobulin G; PCP, primary care provider; SPEP, serum protein electrophoresis; SSA, Sjögren's syndrome type A; UWSFR, unstimulated whole salivary flow rate.

