Pathology · single question

A patient has elevated anti-SSA (anti-Ro) antibodies documented in their chart. What is the MOST likely diagnosis?

  1. Rheumatoid Arthritis
  2. Sjögren's Syndrome
  3. Systemic Lupus Erythematosus (SLE)
  4. Scleroderma
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Correct answer: B. Sjögren's Syndrome

Anti-SSA (anti-Ro) and anti-SSB (anti-La) antibodies are the most specific serological markers for Sjögren's Syndrome. Sjögren's is an autoimmune exocrinopathy with lymphocytic infiltration of salivary and lacrimal glands causing xerostomia and xerophthalmia (sicca symptoms). Anti-SSA can also be present in lupus, but it is most specifically associated with Sjögren's in this clinical context. Rheumatoid arthritis is associated with anti-CCP and RF, not anti-SSA.

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