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We read with interest the article by Dr Oliver Schein and his colleagues¹ in the June 1999 issue of the ARCHIVES. They found that of the 2481 individuals (aged 61-94 years) investigated, approximately 27% reported symptoms of dry eyes or dry mouth, and 4.4% reported both. The sicca symptoms were not associated with rheumatoid arthritis but with the use of certain medications. However, no discernible cause was found for 38% of the cases of dry eyes and mouth and 62% of the cases of either symptom.

We believe that Schein et al¹ have described patients with a combination of sialadenitis, osteoarthritis, and xerostomia (SOX syndrome) described by us in 1997.² We described 35 patients aged 51to 80 years with both dry eyes and dry mouth (4 [12%]), dry mouth only (14 [40%]), and dry eyes only (5 [14%]). All had generalized nodal osteoarthritis (NOA). This is an interesting point because . . . [Full Text of this Article]

RELATED ARTICLE

Dry Eye and Dry Mouth in the Elderly: A Population-Based Assessment
Oliver D. Schein, Marc C. Hochberg, Beatriz Muñoz, James M. Tielsch, Karen Bandeen-Roche, Thomas Provost, Grant J. Anhalt, and Sheila West
Arch Intern Med. 1999;159(12):1359-1363.
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