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not all dry eyes and mouth is due to sjogren s syndrome (ss). think of mimics including diabetes, hcv, hiv, sarcoidosis.
equally, not all parotid enlargement is due to ss. think of mimics including igg4, sialodenosis #reviewcourse #acr22 
MD PhD Consultant Rheumatologist &Physician,Assoc Medical Director,Digital Leader,NASS Trustee &Best Rheum Care,Visiting Fellow Henley Business School,ExecCoach