Rheumatoid arthritis is a autoimmune condition affecting large and small joints in the body and it can be associated with other autoimmune conditions ae well . Most common presentations are pain in the joints , deformity with raised inflammatory markers and radiological changes due to the autoimmune activity . Here in our patient , it has co existed with secondary sjogren Syndrome with features like dry eyes , dry mouth . Here in our case we diagnosed Rheumatoid arthritis with secondary sjogren Syndrome and treated and patient was symptomatically better and got discharged .