This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Immunology and Rheumatology, 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. Cyogtobilinemia, C. Leukopenia, D. High C4compement levels", 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., High C4 complement levels o Lymphoa is a well-known complication of Sjogren s syndrome : Most lymphomas are extra-nodal, low grade marginal B cell lymphomas.o Development of Lymphoma in Sjogren's syndrome is suggested by low C4 complement levels.Lymphoma in Sjogren's syndromeThe development of Lymphomas in patients with Sjogren syndrome is suggested by :-o Persistent parotid gland enlargemento Purpurao Leukopeniao Cryoglobulinemiao Low C4 complement levels", 'role': 'assistant'}]