Re: neuro symptoms as first sign of Sjogren's?
It is possible to have *both* MS and Sjogrens. Some of the symptoms, such as fatigue and weakness can be the same for both. But MS doesn't cause dryness like Sjogrens does, and I don't think that the first symptom of Sjogrens is usually numbness. I have both. They originally sent me for an MRI because I was having numbness and they weren't sure why. My immunologist said it would be rare to have that symptom so early in the disease with Sjogrens, but he said anything is possible, and he wanted me checked for other Neurological problems as well. I went for an MRI and it was very, very clear that the lesions on my brain were not caused by Sjogrens. The radiologist knew the second that he saw it that I have MS. I then went to an MS specialist who sent me for a spinal tap, which confirmed my positive diagnosis of MS. I was only 23 years old. Now I'm 25.
The thing is, if you have one auto-immune disease such as MS, it is all the more likely that you have another one. I am a firm believer that auto-immune diseases go hand in hand with each other. I had an idiot neurologist who told me that if I have MS, it is not possible for me to have Sjogrens because you can't possibly have two auto-immune diseases. I left him and never looked back. Now I go to a neurologist who totally agrees with me that you can have several auto-immue diseases. One does not cancel out the other. In fact, a lot of doctors believe that having one just makes it more likely for you to have more.
I don't have a positive diagnosis of Sjogrens yet because my blood tests keep coming back "borderline". But now more and more symptoms are appearing that could not possibly be from my MS. (Dry sinuses, dry patches on my skin) So I have to go back to the immunologist and have him test my blood again. Another way to get a sure answer one way or the other is for them to biopsy a salivary gland. But that requires surgery on your lower lip.