Wang S L, Zou Z J, Yu S F, Zhu J R
Salivary Gland Disease Center, Beijing Hospital for Stomatology, Capital Institute of Medicine, China.
Int J Oral Maxillofac Surg. 1993 Dec;22(6):362-5. doi: 10.1016/s0901-5027(05)80669-1.
This study included 125 patients with chronic parotitis, and it presents in particular, a long-term clinical, laboratory, and sialographic study of 22 patients who were diagnosed as having adult recurrent sialadenitis of the parotid glands (ARSPG). Twelve of the 22 patients with ARSPG were shown to have Sjögren's syndrome (SS). These patients had recurrent parotid gland swelling for 1.5-14 years (mean, 5.2 years) before xerostomia and keratoconjunctivitis sicca occurred. Ten of the 22 patients with ARSPG did not develop SS, but did experience recurrent parotitis which extended from childhood into adulthood. The ARSPG underwent remission in seven of these patients. It is suggested that patients with ARSPG, but without a history of parotid gland swellings in childhood, should be diagnosed provisionally as having subclinical SS (SCSS).
本研究纳入了125例慢性腮腺炎患者，特别呈现了对22例被诊断为成人复发性腮腺腺炎（ARSPG）患者的长期临床、实验室及唾液造影研究。22例ARSPG患者中有12例被证实患有干燥综合征（SS）。这些患者在出现口干症和角结膜干燥症之前，腮腺反复肿胀1.5至14年（平均5.2年）。22例ARSPG患者中有10例未发展为SS，但确实经历了从儿童期延续至成年期的复发性腮腺炎。其中7例ARSPG患者病情缓解。建议对于无儿童期腮腺肿胀病史的ARSPG患者，应初步诊断为亚临床SS（SCSS）。
