Q:

A 70 year old woman presents with recurrent episodes of parotid swelling. She complains of difficulty in talking and speaking and her eyes feel gritty on waking in the morning. What is the single most likely diagnosis?

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A 70 year old woman presents with recurrent episodes of parotid swelling. She complains of difficulty in talking and speaking and her eyes feel gritty on waking in the morning. What is the single most likely diagnosis?


  1. C1 esterase deficiency
  2. Crohns disease
  3. Mumps
  4. Sarcoidosis
  5. Sjogrens syndrome

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The key is E. Sjogrens syndrome. [parotid swelling, difficulty talking and speaking (due to dryness or

less salive), eyes feeling gritty on waking in the morning due to dryness of eye are suggestive of Sjogrens

syndrome].

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