<prompt> All of the following may be associated with Sjogron syndrome, except :Dry eyesDry mouthParotid gland enlargementSystemic manifestations  <response>: Answer is D Systemic manifestations Although glandular manifestations in the form of dry eyes, dry mouth or parotid gland enlargement farm the presenting features. Systemic manifestations may also be seen Sjogren syndrome: Sjogrens syndrome is a clinicopathologic entity characterized by dry eyes keratoconjunctivitis sicca and dry mouth xerostomia resulting from immunologically mediated destruction of the lacrimal and salivary glands. 