Primary juvenile Sjögren’s syndrome in a 4-year-old female patient: a Palestinian case report

PSS is rare in the pediatric population, with onset between 10 and 14 years old. Salivary gland ultrasound and minor salivary gland biopsy are essential tools for the diagnosis of PSS in childhood. Treatment options for PSS in children are limited, but medications like methotrexate and prednisolone can help improve systemic symptoms and reduce parotid swelling. Pilocarpine can be added for dryness, and steroid eye drops and artificial tears for dry eyes. Further research is needed to establish management protocols specifically for the pediatric age group.