Melsom R D, Speight P M, Ryan J, Perry J D
Department of Rheumatology, London Hospital.
Ann Rheum Dis. 1988 Feb;47(2):166-8. doi: 10.1136/ard.47.2.166.
A patient presenting with bilateral enlargement of parotid and lacrimal glands, xerostomia, and keratoconjunctiva sicca, whose labial biopsy specimen showed changes consistent with Sjögren's syndrome, is described. The patient was initially misdiagnosed as having primary Sjögren's syndrome (SS). Subsequent investigations, however, performed to exclude an associated lymphoma or sarcoidosis, showed histological changes of the latter. The possibility that early infiltrates of the salivary glands in sarcoid may mimic those of SS is discussed.
描述了一名患者，其表现为双侧腮腺和泪腺肿大、口干症以及角结膜干燥症，唇活检标本显示的变化与干燥综合征相符。该患者最初被误诊为原发性干燥综合征（SS）。然而，随后为排除相关淋巴瘤或结节病而进行的检查显示为后者的组织学变化。文中讨论了结节病早期唾液腺浸润可能酷似干燥综合征浸润的可能性。
