<prompt> All the following features are found in Sjogren syndrome, EXCEPT:LymphomaGranulomas in salivary glandsXerostomiaXerophthalmia  <response>: Sjogrens syndrome is a chronic, slowly progressive autoimmune disease characterized by lymphocytic infiltration of the exocrine glands resulting in xerostomia and dry eyes. The prevalence of primary Sjogrens syndrome is approximately 0.5-1, while 30 of patients with autoimmune rheumatic diseases suffer from secondary Sjogrens syndrome The majority of Sjogrens syndrome patients have symptoms related to diminished lacrimal and salivary gland function. The principal oral symptom of Sjogrens syndrome is dryness xerostomia. Ocular involvement is the other major manifestation of Sjogrens syndrome. Lymphoma is a well-known manifestation of Sjogrens syndrome that usually presents later in the illness. Persistent parotid gland enlargement, purpura, leukopenia, cryoglobulinemia, and low C4 complement levels are manifestations suggesting the development of lymphoma. Most lymphomas are extranodal, low-grade marginal zone B cell lymphomas and are usually detected incidentally upon evaluating the labial biopsy. Granulomas in salivary glands is seen in sarcoidosis. Ref: Moutsopoulos H.M., Tzioufas A.G. 2012. Chapter 324. Sjogrens Syndrome. In D.L. Longo, A.S. Fauci, D.L. Kasper, S.L. Hauser, J.L. Jameson, J. Loscalzo Eds, Harrisons Principles of Internal Medicine, 18e. 