The patient also met the 2016 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for primary Sjögren’s syndrome on the basis of positive anti-SSA and labial salivary glands with focal lymphocytic sialadenitis and a focus score of ≥1 foci/4 mm2 (14). The gene discussed is TRIM21; the disease is Sjogren syndrome.