forty nictitating membrane glands and 9 main lacrimal glands were obtained for histologic evaluation from 28 dogs with keratoconjunctivitis sicca as the result of azosulfapyridine toxicity , canine distemper , multisystemic autoimmune disease ( sjogren 's syndrome-like syndrome ) , congenital origin , and unilateral and bilateral idiopathic keratoconjunctivitis sicca .
C0004364
autoimmune disease
C1527336
sjogren 's syndrome