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Enlarging lung nodules and cysts in a 53-year-old woman with primary Sjögren syndrome.

A 53-year-old woman with primary Sjögren syndrome was referred for evaluation of pulmonary nodules. She described no respiratory symptoms and was a nonsmoker. She received a diagnosis of Sjögren syndrome 20 years earlier when she presented elsewhere with sicca symptoms. Her medications included hydroxychloroquine 200 mg bid and prednisone 4 mg once a day. Family history was unremarkable. Her past medical history was also unremarkable except for Hashimoto thyroiditis. She denied recent travel or relevant exposures.