CALR and Sjogren syndrome: A 35-year-old primigravida from the city of Sorocaba, Brazil, with Sjögren syndrome and anti-Ro/SSA-positive and anti-La/SSB-negative antibodies was examined at our department with a singleton gestation of 25 weeks; the patient was referred for fetal bradycardia with a heart rate (HR) of 45 bpm for 21 weeks.