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Previous Volume 353:1747 October 20, 2005 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Cukierman et al., in their Clinical Problem-Solving article (Aug. 4 issue),¹ affirm that "the clinical picture suggests primary Sjögren's syndrome because of the lack of clinical features associated with rheumatoid arthritis or other autoimmune disorders," according to the revised European criteria.² The more recent American–European Consensus Group classification³ establishes as exclusion criteria for primary Sjögren's syndrome the presence of infection with hepatitis C virus (HCV) or the human immunodeficiency virus (HIV). Were HCV and HIV infection considered in this patient? Is there another fragment in the fractured diagnosis?

Francisco López-Medrano, M.D.
Manuel Lizasoain, M.D.
José María Aguado, . . . [Full Text of this Article]

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