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how to distinguish #sjogrens from igg4 ssa typically negative in igg4 elevated igg4 and ige in igg4 histopath in igg4 with storiform fibrosis with igg4 positive plasmacytes #sjogrens = focal lymphocytic sialadenitis #acr22 #acrambassador 
mom,rheumatologist,VP @PaRheum, local leader @AWIRGROUP,#ACRambassador, #ACR22  Tweets#medical advice