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Sjögren's syndrome is one such disease, and it is associated with symptoms including fatigue, myalgia and arthralgia. [8] The disease is characterised by inflammatory changes in the moisture-producing glands throughout the body, leading to reduced secretions from glands that produce saliva, tears and other secretions throughout the body. [8]
An unstimulated salivary flow rate of 0.1 to 0.2 ml/min and a stimulated flow rate of 0.7 ml/min or less is considered to be abnormally low flow rates indicative of salivary gland hypofunction. [61] Unstimulated saliva production reduces by 40 to 70% between the age of 20 and 80 years, but stimulated saliva production is not affected. [62]
Salivary gland dysfunction affects the flow, amount, or quality of saliva produced. A reduced salivation is termed hyposalivation.Hyposalivation often results in a dry mouth condition called xerostomia, and this can cause tooth decay due to the loss of the protective properties of saliva.
It has also been defined as increased amount of saliva in the mouth, which may also be caused by decreased clearance of saliva. [ 4 ] Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing (dysphagia) the excess saliva, which can lead to excessive spitting.
Saliva is an important component of the taste mechanism. Saliva both interacts with and protects the taste receptors in the mouth. [5] Saliva mediates sour and sweet tastes through bicarbonate ions and glutamate, respectively. [6] The salt taste is induced when sodium chloride levels surpass the concentration in the saliva. [6]
[1] Type 1 – Symptoms not present upon waking, and then increase throughout the day; Type 2 – Symptoms upon waking and through the day; Type 3 – No regular pattern of symptoms; Sometimes those terms specific to the tongue (e.g. glossodynia) are reserved for when the burning sensation is located only on the tongue. [21]
In immunology, autoimmunity is the system of immune responses of an organism against its own healthy cells, tissues and other normal body constituents. [1] [2] Any disease resulting from this type of immune response is termed an "autoimmune disease".
Addison's disease arises when the adrenal gland does not produce sufficient amounts of the steroid hormones cortisol and (sometimes) aldosterone. [1] It is an autoimmune disease which affects some genetically predisposed people in whom the body's own immune system has started to target the adrenal glands. [ 7 ]
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