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Dentistry · Oral anatomy: Sjogren syndrome
Sample itemA 45-year-old woman has dry mouth and dry eyes. Lip biopsy shows focal lymphocytic sialadenitis. Which antibodies support the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Anti-Ro (SSA) and anti-La (SSB)
Sjogren syndrome shows lymphocytic infiltration of salivary and lacrimal glands, producing xerostomia and keratoconjunctivitis sicca. Anti-Ro and anti-La are typical antibodies, with rheumatoid factor often positive.
Option by option
A. Anti-Jo-1
Anti-Jo-1 is linked to inflammatory myositis.
B. Anti-dsDNA
Anti-dsDNA is specific for lupus.
C. Anti-centromere
Anti-centromere is linked to limited scleroderma.
D. Anti-Ro (SSA) and anti-La (SSB) (correct)
Correct. These antibodies characterise Sjogren syndrome.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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