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.