x: M U/FL: Bed: Rm: Patient ID: Address:9 EAST 71ST STREET, NEN YORK, m' 10021 P: Assist with diagnosis of Scleroderna (Systemic Sclerosis). Sjogren's Syndrome. Idiopathic Inflammatory Polymyositis or Dereatemyositis• IIIII Specimen ID: 104364919 Date Of Report: 09/08/2017 11:30 Date Collected:

x: M U/FL: Bed: Rm: Patient ID: Address:9 EAST 71ST STREET, NEW YORK, NY 10021 P: Assist with diagnosis of Scleroderna (Systemic Sclerosis). Sjogren's Syndrome. Idiopathic Inflammatory Polymyositis or Dereatteyositis• IIIII Specimen ID: 104364919 Date Of Report: 09/08/2017 11:30 Date Collected:

To: Jeffrey Epstein Subject: ANA test This seems to conclud= that having a positive SSB number but not SSA does not provide support to=diagnose Sjogren's. Usually you need SSA or both. But I found no other dia=nosis for having only positive SSB. The SSB-positive/SSA-negative antibody profile is =ot

From: Sent: To: Thursday, February 2, 2017 8:55 PM Jeffrey Epstein Did you hear the ANA blood test showed Sjogren's syndrome? Have you heard of that? 1 EFTA_R1_01387532 EFTA02377206