<prompt> A 45-year-old woman with long-standing rheumatoid ahritis complains of dry eyes and dry mouth. Bilateral enlargement of the parotids is noted on physical examination. The syndrome described here is best described asAutoimmuneInfectiousMetabolic.Metastatic  <response>: Sjogren syndrome Chronic autoimmune disorder Characterized by dry eyes keratoconjunctivitis sicca dry mouth xerostomia dt immunologically mediated lymphocytic infiltration parenchymal destruction of lacrimal salivary glands. 