The Patient With Dry Eyes and Dry Mouth

A 59-year-old woman with a 7-year history of Sjögren’s syndrome treated symptomatically has had three episodes of cutaneous vasculitis, successfully treated with oral steroids. She now presents with complaints of a slowly progressive enlargement of her right parotid gland. Her physical exam reveals dry mucous membranes and an enlarged, firm, non-tender right parotid gland. Laboratory […]