“…Moreover, in 2007, it was presented that also in rheumatoid arthritis there are present aCAAs in serum, showing affinity to bind to carbonic anhydrase III in synovial membranes [ 16 ]. Up to date aCAAs have been described in patients with rheumatoid disorders (rheumatoid arthritis, Behçet's disease, lupus erythematosus, polymyositis, systemic sclerosis, and Sjögren syndrome) [ 16 – 18 ], digestive tract disorders (idiopathic chronic pancreatitis, primary biliary cirrhosis, autoimmune cholangitis, and gastric cancer) [ 18 , 19 ], endometriosis [ 18 ], Grave's disease [ 20 ], acute myeloid leukaemia [ 21 ], renal tubular acidosis [ 22 ] (significant influence on pathogenesis proved in the animal model of Sjögren's syndrome [ 23 ]), and end-stage kidney disease [ 24 ]. Moreover, autoantibodies against carbonic anhydrase II were proved to play an important role in pathogenesis of retinopathy [ 25 ] and these against CAVI seem to induce dry eye syndrome in Sjögren's syndrome [ 26 , 27 ].…”