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Last updated: October 22, 2025View editorial policy

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Differential Diagnosis for Chronic Dry Eyes and Dry Mouth

Single Most Likely Diagnosis

  • Sjögren's Syndrome: This autoimmune disorder is the most common cause of chronic dry eyes (xerophthalmia) and dry mouth (xerostomia), characterized by lymphocytic infiltration of the lacrimal and salivary glands.

Other Likely Diagnoses

  • Aging: As people age, the production of tears and saliva can decrease, leading to dry eyes and mouth.
  • Medication Side Effects: Certain medications, such as antihistamines, decongestants, and antidepressants, can cause dry eyes and mouth as a side effect.
  • Environmental Factors: Prolonged exposure to dry environments, wind, or smoke can contribute to dry eyes and mouth.
  • Hormonal Changes: Hormonal fluctuations during menopause or pregnancy can lead to changes in tear and saliva production.

Do Not Miss Diagnoses

  • Lymphoma: Sjögren's syndrome increases the risk of developing lymphoma, which can present with symptoms similar to those of Sjögren's.
  • Sarcoidosis: This autoimmune disorder can cause dry eyes and mouth, as well as other systemic symptoms, and can be life-threatening if not treated.
  • HIV/AIDS: Dry eyes and mouth can be symptoms of HIV/AIDS, particularly in the later stages of the disease.

Rare Diagnoses

  • Graft-Versus-Host Disease (GVHD): This condition can occur after bone marrow or stem cell transplantation and can cause dry eyes and mouth, among other symptoms.
  • Hemochromatosis: This genetic disorder can cause dry eyes and mouth, as well as other systemic symptoms, due to iron overload.
  • Amyloidosis: This condition can cause dry eyes and mouth, as well as other systemic symptoms, due to the deposition of abnormal proteins in various tissues.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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