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': "Development of Lymphoma in Sjogren's syndrome is suggested by all of the following except \nSelect and explain. \nA. Persistent parotid gland enlargement, B. Cyoglobilinemia, C. Leukopenia, D. High C4 compement levels", 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., High C4 complement levels Lymphoa is a well-known complication of Sjogren's syndrome Most lymphomas are extra-nodal, low grade marginal B cell lymphomas. Development of Lymphoma in Sjogren's syndrome is suggested by low C4 complement levels. Lymphoma in Sjogren's syndrome The development ofLymphomas in patients with Sjogren syndrome is suggested by : - Persistent parotid gland enlargement Purpura Leukopenia Cryoglobulinemia Low C4 complement levels", 'role': 'assistant'}]