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Pathology · single question

Same patient. Which of the following features would you NOT expect to find in Sjögren syndrome?

  1. Dry eyes (keratoconjunctivitis sicca)
  2. Bilateral parotid enlargement
  3. Increased risk of MALT lymphoma of the salivary glands
  4. Xerophthalmia and dry skin with butterfly malar rash
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Correct answer: D. Xerophthalmia and dry skin with butterfly malar rash

  • A. Dry eyes ARE a hallmark of Sjögren — this is expected.
  • B. Bilateral parotid enlargement IS classic for Sjögren.
  • C. Increased MALT (mucosa-associated lymphoid tissue) lymphoma risk (approximately 5% lifetime risk) IS a known Sjögren feature.
  • D. CORRECT (this is what you would NOT find) — The butterfly (malar) rash is characteristic of SLE, not primary Sjögren syndrome. Sjögren has sicca features but not the SLE-specific facial rash.

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