<prompt> All of the following are true about Primary Sjogrens syndrome, except:May be seen in childrenSensation of sand or gravel in eyesAssociated with rheumatoid ahritisSalivary gland enlargement  <response>: Answer is C Associated with Rheumatoid Ahritis: Kellys Rheumatoid ahritis is associated with Secondary Sjogrens Syndrome and not Primary Sjogrens Syndrome. Primary Sjogrens Syndrome No Connective Tissue Chronic inflammatory disorder Secondary Sjogrens Syndrome Underlying Connective Tissue Chronic inflammatory disorder Keratoconjunctivitis Sicca Sensation of sand or gravel in eyes and salivary gland enlargement are typical symptoms of Sjogrens syndrome Both Primary and Secondary. Primary Sjogrens syndrome typically affects women in their middle age Female to male ratio 9:1 but it may occur at any age including childhood. Primary Sjogrens syndrome has been repoed infrequently in children with onset as early as 5 years of age. The presence of symptoms and signs of Sjogrens s syndrome Dry eyes; Dry mouth; Salivary Gland Enlargement in the setting of another connective tissue disease or chronic inflammatory pathology like Rheumatoid Ahritis, SLE, Systemic Sclerosis by definition is termed as Secondary Sjogrens Syndrome. 