--is why so many rheumatologists seem to dismiss the neurological components of Sjogren's, which can include peripheral neuropathy, neuronopathy or ganglioneuropathy (cell damage or death in the dorsal root ganglia, which can certainly lead to sensory burning), and even in some cases white matter central nervous system lesions. There are also certainly reports of autonomic dysfunction, likely related to small-fiber damage--and even myopathy.

It's not as if these manifestations haven't been documented--and apparently this person at Hopkins is aware of them--but too many rheumies seem to look at Sjogren's as only a disruption of fluid producing organs--a solely xerothomic disorder.