Is anyone familiar with small fiber neuropathy or other neurological issues linked to Sjögren’s?

I’ve been experiencing dry eyes and a dry nose for a few weeks now. Recently, I’ve also started having rapid-onset symptoms like flu-like aches, pain all over my body, and extremely cold hands and feet despite the temperature. I suspect I might be dealing with Sjögren’s and associated neuropathy. If anyone has had a similar experience, I’d appreciate it if you could share. I’ve also been dealing with several days of uncontrollable panic sensations.

maybe my tremors are just mediocre… but my skin is saying YES

I experience quite a few neuropathic problems. My feet are cold, my fingers are stiff, and my whole body feels tingly. It’s irritating and I haven’t found a remedy yet. I’m just starting HCQ, but I have a feeling it won’t address the neuropathy.

What kind of rheumatology workup have you done? Have you seen a neurologist for testing? There are various conditions that can look like this.

Yes, but I wouldn’t jump to the conclusion that it’s Sjögren’s rather than a short-term illness, especially since it’s only been a few weeks and given the time of year.

Newly released guidelines for diagnosing and treating Sjögren’s peripheral neuropathy can be found here: https://acrjournals.onlinelibrary.wiley.com/doi/pdf/10.1002/acr.70004