<prompt> Development of Lymphoma in Sjogrens syndrome is suggested by all of the following exceptPersistent parotid gland enlargementCyoglobilinemiaLeukopeniaHigh C4 compement levels  <response>: Ans. is d i.e., High C4 complement levels Lymphoa is a well-known complication of Sjogrens syndrome Most lymphomas are extra-nodal, low grade marginal B cell lymphomas. Development of Lymphoma in Sjogrens syndrome is suggested by low C4 complement levels. Lymphoma in Sjogrens syndrome The development ofLymphomas in patients with Sjogren syndrome is suggested by : - Persistent parotid gland enlargement Purpura Leukopenia Cryoglobulinemia Low C4 complement levels 