<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 44-year-old woman comes to her primary care physician with complaints of irritation and a gritty sensation in her eyes for the past few months. She denies any discharge from her eyes. She has no significant past medical or surgical history. She takes multivitamins occasionally but denies use of any other medication. On further questioning, she expresses her concerns about frequent dental caries for the past 2 years. On examination, her temperature is 37.1C 98.8F, blood pressure is 11080 mm Hg, pulse rate is 74min, and respiratory rate is 16min. Which of the following is the most likely cause of her symptoms?? A: Systemic lupus erythematosus SLE, B: Sjögrens syndrome, C: Rheumatoid arthritis, D: Fibromyalgia, E: Scleroderma,  <response>: Based on the information provided in the question stem, the key findings are:- 44-year-old woman with eye irritation and gritty sensation for past few months- No eye discharge- No significant past medical history- Concerns about frequent dental caries in past 2 years- Vital signs are normalThe complaint of eye irritation along with a history of frequent dental caries raises suspicion for Sjögrens syndrome. Sjögrens syndrome is an autoimmune disorder characterized by lymphocytic infiltration of the lacrimal and salivary glands leading to keratoconjunctivitis sicca dry eyes and xerostomia dry mouth. The other options can present with joint pain, rashes, Raynaud phenomenon, etc. but are less likely to cause isolated dry eyes and dry mouth.B: Sjögrens syndrome 