Eight patients with parotid enlargement were seen because of varying musculoskeletal complaints. All were overweight and hypertensive; six had diabetes mellitus, four had palpable hepatomegaly, and six were 49 years or older. One patient had arthritis type IIB hyperlipoproteinemia. Four patients had varying degrees of fibrositis, and two of these also had osteoarthritis. Of the others, one each had gout, Reiter syndrome, and restless legs syndrome. All had hyperlipoproteinemia type IV or IIB, and none abused alcohol. None of these patients have true Sjögren syndrome.
(JAMA 237:1582-1584, 1977)
Goldman JA, Julian EH. Pseudo-Sjögren Syndrome With Hyperlipoproteinemia. JAMA. 1977;237(15):1582–1584. doi:10.1001/jama.1977.03270420050015
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