The definition of concomitant SjD required anti-SSA/Ro and the presence of keratoconjunctivitis sicca and/or xerostomia leaving the possibility that the differences found in the MLSP between race/ethnicity reflected a greater likelihood that non-Latino White patients were tested and clinically evaluated for keratoconjunctivitis sicca and/or xerostomia symptoms. This evidence concerns the gene CALR and dry eye syndrome.