Tamme Tiia, Leibur Edvitar, Kulla Andres
Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia.
Stomatologija. 2007;9(2):61-4.
We report the case of a 22-year-old woman who is suspected of having primary Sjögren s syndrome. She complaining of bilateral swelling of eyelids and the parotid glands of three weeks duration. Physical examination revealed a bilateral enlargement of both parotid glands, which were solid and painful. Sjögren s syndrome was suspected at that stage, and the serologic and specific analysis were done. All these tests didn t find any autoimmune or visceral features typical of Sjögren s syndrome and autoantibodies were negative. During follow-up time the right facial nerve palsy developed. Pulmonary radiography revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed non-caseating granuloma. The patient was classified as having stage I sarcoidosis. This case demonstrates the importance of being aware of the leading clinical signs and symptoms in case of Heerfordt syndrome.
我们报告了一例疑似患有原发性干燥综合征的22岁女性病例。她主诉双侧眼睑和腮腺肿胀，持续三周。体格检查发现双侧腮腺肿大，质地坚实且有压痛。当时怀疑为干燥综合征，并进行了血清学和特异性分析。所有这些检查均未发现干燥综合征典型的自身免疫或内脏特征，自身抗体均为阴性。在随访期间，患者出现了右侧面神经麻痹。胸部X线检查显示双侧肺门淋巴结肿大，唇腺活检显示非干酪样肉芽肿。该患者被归类为I期结节病。本病例表明，在Heerfordt综合征病例中，了解主要临床体征和症状的重要性。
