good immuno qs - messi121212

[ArchivalUser]

A 40-year-old woman complains of dry mouth and dry eyes that have become almost constantly irritating during the past 2 years, regardless of her fluid intake or the weather outside. However, her fingers do not turn blue or painful upon exposure to cold. She is found serologically to have autoantibodies to the nuclear antigen SS-A, along with a positive antinuclear antibody test. Which of the following is most likely to be the worst long term complication of her underlying disease?

A Pneumocystis jiroveci pneumonia

B Monoclonal B-lymphocyte proliferation

C Malabsorption with diarrhea

D Diffuse pulmonary interstitial fibrosis

E Glomerulonephritis

[ArchivalUser]

B.

[ArchivalUser]

BB

[ArchivalUser]

Sjogren-->lymphoma