Listing code
114.10
Children (Part B)
Body system
114.00
Immune system disorders (children)
Subsections
2
Lettered criteria paths
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Sjögren's syndrome , as described in 114.00D7 . With involvement of two or more organs/body systems, and with:
Subsection A
One of the organs/body systems involved to at least a moderate level of severity; AND
Subsection B
At least two of the constitutional symptoms and signs (severe fatigue, fever, malaise, or involuntary weight loss). Back to Top
Source: SSA Blue Book listing 114.10. Last synced 2026-05-04.
Where claims under 114.10 usually fail
A frequent failure is not showing involvement of two or more organs or body systems in the child. Another is that one organ or system is present but not at least a moderate level of severity. A third is having only one of the required constitutional symptoms and signs, rather than at least two from the list (severe fatigue, fever, malaise, involuntary weight loss). A fourth is separating the constitutional symptoms from the Sjogren's syndrome impact, instead of showing the child has Sjogren's syndrome with the required symptom pattern alongside organ involvement.
Medical evidence that strengthens this claim
Medical records should connect the diagnosis of Sjogren's syndrome to involvement in at least two organs or body systems and show that at least one involved area reaches a moderate level of severity. Records should also document constitutional symptoms and signs using the exact category list: severe fatigue, fever, malaise, and/or involuntary weight loss, with at least two present. Because the criteria are phrased around organ/system involvement and severity, progress notes and examinations describing what body systems are affected and how severely they are affected are especially important. Imaging or lab documentation may help support organ involvement and severity, but the key match is the combination of multi-system involvement plus the required constitutional symptom pattern.
What happens if your records do not meet this listing
Step 4 and Step 5 are still possible routes even if the exact listing criteria for Sjogren's syndrome (114.10) are not met. After a listing decision, SSA looks at what the child can still do despite symptoms and limitations, then compares those functional limits to what is required to do age-appropriate work activities. Many claims that do not match a listing language requirement still get evaluated based on the child's overall functional picture and the residual functional capacity assessment, not just the presence of one or two symptoms.
Work activity and the SGA gate for this condition
For an SSDI claim, work activity must meet SSA's rules at the start of the process, and the case then moves to medical criteria. If Sjogren's syndrome cannot be matched to the listing criteria in 114.10, approval depends on the overall functional impact rather than the listing label alone, including the specific constitutional symptom pattern (severe fatigue, fever, malaise, involuntary weight loss) and multi-organ involvement requirements. If the claim is approved, the work-activity rules that apply after approval are based on SSA's disability work rules for SSDI, using trial work and extended eligibility periods.
Listing 114.10 FAQ
Questions that come up repeatedly for sjögren's syndrome , disability claims.