All of the following may be associated with Sjogron syndrome, except :
Dry eyes
Dry mouth
Parotid gland enlargement
Systemic manifestations
Answer is D (Systemic manifestations) Although glandular manifestations in the form of dry eyes, dry mouth or parotid gland enlargement farm the presenting features. Systemic manifestations may also be seen Sjogren syndrome: Sjogren's syndrome is a clinicopathologic entity characterized by dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia) resulting from immunologically mediated destruction of the lacrimal and salivary glands.