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275. Secondary SS is most commonly associated with rheumatoid arthritis, although numerous other autoimmune diseases are also frequently encountered. 89. Senn SJ, DвAngelo G, Potvin D (2005) Rejoinder. 188. J Orthop Res. This syndrome may be mistaken for unilateral or bilateral abducens nerve palsies, divergence insufficiency, horizontal gaze paresis, or ocular myasthenia.

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