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Overall, this represents a rare site of SHML involvement in an immunocompetent individual, and consideration should be given to this diagnosis in cases of diffuse parotid enlargement.
Roughly 40% of patients will present with head- and neck-related symptoms, and parotid enlargement occurs in approximately 5% of this group.
It has been more than 70 years since Swedish ophthalmologist, Henrik Sjogren, described the triad of xerophthalmia, parotid enlargement, and arthritis.