Sjogren syndrome Quiz: Ace Your Exams
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A 52-year-old woman comes to the physician complaining of pain during sexual intercouse for the last 2 months. She also has difficulty swallowing food, especially bread and crackers, and she needs to chew food for longer periods of time before swallowing it. The patient has no significant past medical history. Temperature is 37.3°C (99.1°F), pulse is 73/min, and blood pressure is 138/76 mmHg. Physical examination reveals diffuse, nontender enlargement of the parotid glands bilaterally. Oropharyngeal examination reveals multiple new dental caries and halitosis. Ophthalmologic examination reveals 20/40 visual acuity in both eyes. Laboratory studies reveal the following findings:
If this patient remains untreated, which of the following is she at increased risk of developing?
| Laboratory value | Result |
| Hemoglobin | 10.2 g/dL |
| Hematocrit | 31% |
| Platelet count | 350,000/mm3 |
| Leukocyte count | 3,000/mm3 |
| Erythrocyte sedimentation rate | 52 mm/h |
| Antinuclear antibodies | Positive |
| Rheumatoid factor | Negative |
| Anti-dsDNA | Negative |
| Anti-Ro/La (anti-SSA/SSB) | Positive |
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