Re: I have a question?
I have a few suggestions that might help cover any overlooked items. Some of your symptoms could point to lupus, and I would think your Rheumy checked you for that, but I've learned not to assume the obvious. With Sjogren's there is often another autoimmune disease present. Lupus can cause fever, atypical pneumonia "lupus pneumonitis", which is inflammatory, not infectious, and sometimes large lymph node enlargement. It can also cause spleen enlargement. For the pneumonia, they should also run a cold agglutinin test or mycoplasma antibody test, as it is a common atypical pneumonia that has to be treated with specific antibiotics. These may have already been done, so I would just ask about it, and keep in mind that lupus can present with symptoms long before the test for it becomes positive.