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A 50-year-old female complains of dry mouth and foreign body sensation in her eyes. It is difficult for her to speak for more than a few minutes. There is no history of diabetes mellitus or neurological disease. The patient is on no medications. During clinical examination the buccal mucosa appears dry and the salivary glands are enlarged bilaterally. The next step in evaluation would be?
Use of coicosteroids
Schirmer test and measurement of autoantibodies
IgG antibody to mumps virus
Lip biopsy
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