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Medicine
A 60-year-old female complains of dry mouth and a gritty sensation in her eyes. She states it is sometimes difficult to speak for more than a few minutes. There is no history of diabetes mellitus or neurologic disease. The patient is on no medications. On exam, the buccal mucosa appears dry and the salivary glands are enlarged bilaterally. The next step in evaluation is:
Lip biopsy
Schirmer test and measurement of autoantibodies
IgG antibody to mumps virus
Use of corticosteroids
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