<prompt> Development of Lymphoma in Sjogrens syndrome is suggested by all of the following, except:Persistent parotid gland enlargementCyoglobulinemiaLeukopeniaHigh C4 Compement levels  <response>: Answer is D High C4 complement levels: Development of Lymphoma in Sjogrens Syndrome is suggested by Low C4 Complement levels Lymphoma in Sjogrens syndrome Extra-nodal, low grade marginal B cell Lymphomas The development of Lymphomas in patients with Sjogren Syndrome is suggested BY : Persistent Parotid gland enlargement Purpura Leukopenia Cryoglobulinemia Low C4 complement levels Lymphoma is a well-known complication of Sjogrens syndrome; Most lymphomas are extra-nodal, low grade marginal B cell Lymphomas 