This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'All of the following may be associated with Sjogron syndrome, except : \nSelect and explain. \nA. Dry eyes, B. Dry mouth, C. Parotid gland enlargement, D. Systemic manifestations', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answer is D (Systemic manifestations) Although glandular manifestations in the form of dry eyes, dry mouth or parotid gland enlargement farm the presenting features. Systemic manifestations may also be seen Sjogren syndrome: Sjogren's syndrome is a clinicopathologic entity characterized by dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia) resulting from immunologically mediated destruction of the lacrimal and salivary glands.", 'role': 'assistant'}]