Which of the following is NOT part of the classic presentation of Secondary Sjogren's syndrome?

Secondary Sjögren's syndrome is often associated with other autoimmune conditions, most commonly rheumatoid arthritis. The classic manifestations of this syndrome include dryness in mucous membranes, leading to symptoms such as dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia).

Miosis, which refers to constricted pupils, is not typically associated with the classic presentations of this condition. The presence of dry eyes and dry mouth directly correlates with the dysfunction of the lacrimal and salivary glands, which are hallmark features of Sjögren's syndrome. Therefore, it is accurate to say that miosis does not form part of the classic symptomatology seen in secondary Sjögren's syndrome.

In the context of this question, miosis stands out as it does not relate directly to the glandular changes or systemic associations typically expected with this syndrome.