CONCLUSION AND RESULTS
Cytopenia may present before sicca symptoms in Sjogren’s syndrome as
presented in our case so it should be considered an important
differential while evaluating unexplained cytopenia. Asymptomatic
normocytic anemia is the usual presentation. Our patient improved with
corticosteroids but long-term follow-up is still needed to know more
about the hematological presentation in these patients. Thus, SS should
be kept an important consideration while evaluating unexplained
cytopenia that might be missed due to its rare incidence and few studies
on it.