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Bilateral parotid swelling caused by sarcoidosis
Farisa Surattanont1, Louis Mandel, Barry Wolinsky
1New York Presbyterian Hospital, New York, USA.
Journal of the American Dental Association (1939)
|June 27, 2002
Summary
Salivary gland swelling can be an early sign of sarcoidosis, a multisystem granulomatous disease. Dental professionals should recognize this manifestation for timely diagnosis and treatment of sarcoidosis.
Area of Science:
- Granulomatous diseases
- Multisystemic disorders
- Oral medicine
Background:
- Sarcoidosis is a multisystem granulomatous disease.
- Bilateral hilar lymphadenopathy is characteristic.
- Salivary gland swellings are a recognized, yet often overlooked, manifestation.
Observation:
- A patient presented with tenuous sarcoidosis diagnosis.
- Ocular involvement and elevated angiotensin-converting enzyme levels were noted.
- Salivary gland swelling was key to confirming the diagnosis via biopsy.
Findings:
- Salivary gland manifestation is crucial for sarcoidosis diagnosis.
- Early recognition aids in disease management.
- Steroid therapy is a common treatment.
Implications:
- Dental practitioners must be aware of salivary gland manifestations of sarcoidosis.
- Prompt diagnosis by dentists can prevent disease progression.
- Familiarity with sarcoidosis aids in patient management and outcomes.