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: Ophthalmology
Regarding Sjogren's syndrome, all are true except: September 2010 
Select and explain. 
A. Keratoconjuctivitis sicca, B. Rheumatoid ahritis, C. Epiphora, D. Autoimmune in nature
C: Epiphora
Answer: C: Epiphora 
Explanation: Ans. C: Epiphora SjOgren's syndrome (also known as "Mikulicz disease" and "Sicca syndrome", is a systemic autoimmune disease in which immune cells attack and destroy the exocrine glands that produce tears and saliva SjOgren's syndrome can exist as a disorder in its own right (Primary Sjogren's syndrome) or it may develop years after the onset of an associated rheumatic disorder such as rheumatoid ahritis, systemic lupus erythematosus, scleroderma, primary biliary cirrhosis etc. (Secondary SjOgren's syndrome)