#EULAR2021 OP0291 proposes focus score of 4+ as prognostic factor for lymphoma risk in Sjogrens Focus score 4+: ⬆️lymphoma risk ⬆️salivary gland swelling ⬆️autoantibodies ⬇️thyroiditis Authors propose 4yr follow-up biopsy in all pts Focus score 4+. @RheumNow