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various causes and d/d of #sjogrens lip biopsy can help identify sarcoid amyloid igg 4 hemochromatosis lymphoma malt always ask/look for lasik , diabetes , smoking , radiation, gvhd, hiv/hcv, medications #acr22 #acrambassador 
mom,rheumatologist,VP @PaRheum, local leader @AWIRGROUP,#ACRambassador, #ACR22  Tweets#medical advice