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A 47-year-old woman came to our clinic for sudden pain and enlargement of her left parotid gland (figure 1A). A diagnosis of primary Sjögren syndrome was made 20 years ago associated with keratoconjunctivitis sicca, dry mouth and intermittent episodes of bilateral parotid gland swelling. She had been treated continuously with hydroxychloroquine. A treatment with nonsteroidal anti-inflammatory …
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