Noreikaite Gabriele, Toscano Michael L, Shermetaro Carl B
Midwestern University Chicago College of Osteopathic Medicine, 555 31 St., Downers Grove, IL, 60515 USA.
Department of Otolaryngology-Head and Neck Surgery, McLaren Oakland Hospital, 749 High St., Clawson, MI, 48017 USA.
Radiol Case Rep. 2021 Nov 19;17(1):265-267. doi: 10.1016/j.radcr.2021.10.049. eCollection 2022 Jan.
Sjögren's syndrome is a chronic autoimmune disorder characterized by mononuclear infiltration of exocrine glands, most commonly the lacrimal and salivary glands. While up to 34% of patients report bilateral parotid swelling, bilateral parotid sialolithiasis remains an exceptionally rare symptom. Here we present a patient who presents to the otolaryngology clinic with presentation of bilateral punctate parotid gland sialolithiasis prior to diagnosis of Sjögren's syndrome. Due to a wide array of clinical presentations frequently affecting the head and neck, otolaryngologists are often the initial providers for patients suffering from Sjögren's syndrome.
干燥综合征是一种慢性自身免疫性疾病,其特征是外分泌腺出现单核细胞浸润,最常见的是泪腺和唾液腺。虽然高达34%的患者报告有双侧腮腺肿大,但双侧腮腺涎石病仍然是一种极为罕见的症状。在此,我们报告一例患者,在诊断干燥综合征之前,因双侧点状腮腺涎石病就诊于耳鼻喉科门诊。由于干燥综合征的临床表现多种多样,常累及头颈部,耳鼻喉科医生往往是该病患者的首诊医生。