Originally Posted by en bloc

If you have 'active' Sjogren's the correct amount of infiltrates will show. It's not like you have to build up the disease process. The degree of damage will change over time, but the active disease process is either there or it's not. BTW, I am also a believer that even some infiltrates (in the presence of inflammatory damage) indicates an abnormal process...maybe just 'inactive'. If no infiltrates are present it's pretty clear that it's not Sjogren's. With the problems you're having IF it's Sjogren's, your biopsy should reflect this.

Just remember if you plan to do this, get it done before you start steroids...as I am a believer that they may alter the results and degree of inflammation.