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Rather, theSjögren's syndrome disease damage index was higher in the group with focusscores 1. Among all variables, only serum immunoglobulin G levels were correlated with focus scores. Given the little influence on clinical phenotypes, routine MSGB could be omitted for serologically and clinically established pSS patients, especially in low-risk areas for lymphoproliferative diseases. Given the little influence on clinical phenotypes, routine MSGB could be omitted for serologically and clinically established pSS patients, especially