NBME 22 Answers ↦
(25.2 difficulty score)
A 40-year-old woman comes to the physician ...
Really good observation
Never forget what our lord and savior Dr. Sattar says - environmental trigger in a genetically predisposed individual (aka multifactorial)!
"Sjogren syndrome likely results from a combination of genetic and environmental factors (it appears to be multifactorial). Several different genes appear to affect the risk of developing the condition, but specific genes have not been confirmed. Simply having one of these genes does not cause a person to develop the disease. " From the article cited