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 C05 Musculoskeletal Diseases D009140 +
  C05.550 Joint Diseases D007592 +
   C05.550.114 Arthritis D001168 +
    C05.550.114.154 Arthritis, Rheumatoid D001172 +
     C05.550.114.154.774 Sjogren's Syndrome D012859 
 C05 Musculoskeletal Diseases D009140 +
  C05.799 Rheumatic Diseases D012216 +
   C05.799.114 Arthritis, Rheumatoid D001172 +
    C05.799.114.774 Sjogren's Syndrome D012859 
 C07 Stomatognathic Diseases D009057 +
  C07.465 Mouth Diseases D009059 +
   C07.465.815 Salivary Gland Diseases D012466 +
    C07.465.815.929 Xerostomia D014987 +
     C07.465.815.929.669 Sjogren's Syndrome D012859 
 C11 Eye Diseases D005128 +
  C11.496 Lacrimal Apparatus Diseases D007766 +
   C11.496.260 Dry Eye Syndromes D015352 +
    C11.496.260.719 Sjogren's Syndrome D012859 
 C17 Skin and Connective Tissue Diseases D017437 +
  C17.300 Connective Tissue Diseases D003240 +
   C17.300.775 Rheumatic Diseases D012216 +
    C17.300.775.099 Arthritis, Rheumatoid D001172 +
     C17.300.775.099.774 Sjogren's Syndrome D012859 
 C20 Immunologic Diseases D007154 +
  C20.111 Autoimmune Diseases D001327 +
   C20.111.199 Arthritis, Rheumatoid D001172 +
    C20.111.199.774 Sjogren's Syndrome D012859