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: Pathology
[{'content': 'All of the following are the features of secondary sjogren syndrome except: \nSelect and explain. \nA. Dry eyes., B. Dry mouth., C. SLE., D. Neuromuscular involvement.', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]