CASE HISTORY/EXAMINATION
A 60-year-old female presented to the outpatient department with a complaint of generalized weakness for the last 6 months. She did not report experiencing fever, rash, abdominal pain, headache, weight loss, or sweating. Additionally, she had no significant history of cardiovascular illness, thyroid disorders, chronic kidney disease, or neurological disorders.
On general examination, the lower palpebral conjunctiva was pale. The vital parameters were in the normal range and the remainder of systemic examinations were unremarkable. On further query, the patient acknowledged that she had been experiencing dry eyes for the past month, but it was not serious enough to bother her. To find out the cause of dry eyes, an ophthalmological examination was performed and it revealed a positive Schirmer’s test (3mm in the right and 2mm in the left eye).