I found this on the web today:
“A diagnosis of Sjögren syndrome myelopathy requires a high index of suspicion and should be considered predominantly in women over 45 years of age with progressive spastic paraparesis and abnormalities on spinal cord MRI, even with negative anti-extractable nuclear antigen antibodies (Ro/SS-A or La/SS-B) (Pericot et al 2003). The presence of autoantibodies against fodrin also helps in differentiating myelopathy in Sjögren syndrome from primary progressive multiple sclerosis (de Seze et al 2003). A positive test has 70% sensitivity, 86.7% specificity, 63.6% positive predictive value, and 89.6% negative predictive value (de Seze et al 2003).”
I have added more in the New Diagnosis forum
Moyna x