Question

in a case of rheumatoid arthritis which also includes dryness of the mouth and eyes, the mostly likely diagnosis would include which of the following?
dermatomyositis
amyloidosis
systemic sclerosis
sjogren syndrome

Explanation:

To determine the correct diagnosis, we analyze each option:

• Dermatomyositis: Primarily affects muscles and skin, not associated with dry mouth/eyes and rheumatoid arthritis - like joint issues.
• Amyloidosis: Involves abnormal protein deposition, not typically linked to dry mouth/eyes with rheumatoid arthritis.
• Systemic Sclerosis: Mainly affects skin and connective tissues, not characterized by dry mouth/eyes in conjunction with rheumatoid arthritis - like symptoms.
• Sjogren syndrome: Often occurs with rheumatoid arthritis and is characterized by dry mouth (xerostomia) and dry eyes (keratoconjunctivitis sicca).

Answer:

D. Sjogren syndrome