The Journal of the American Dental Association
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J Am Dent Assoc, Vol 133, No 6, 738-741.
© 2002 American Dental Association
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CLINICAL PRACTICE

CASE REPORT

Bilateral parotid swelling caused by sarcoidosis



FARISA SURATTANONT, D.D.S., LOUIS MANDEL, D.D.S. and BARRY WOLINSKY, D.D.S., M.S.

Background. Sarcoidosis is a multi-system granulomatous disease characteristically causing bilateral hilar lymphadenopathy. Salivary gland swellings also are seen, which mandate recognition by the dental profession.

Case Description. The authors describe a patient whose diagnosis of sarcoidosis was tenuous. Ocular involvement and an elevated serum angiotensin-converting enzyme level suggested a diagnosis of sarcoidosis. Confirmation with a tissue biopsy was achieved only when the clinicians recognized that salivary gland swelling probably represented a manifestation of the disease. Steroid therapy was instituted.

Clinical Implications. It is important for the dental practitioner to be familiar with the salivary gland manifestation of sarcoidosis. Early recognition and intervention aborts or slows disease progression.




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L. MANDEL, B. WOLINSKY, and E. C. CHALOM
Treatment of refractory sarcoidal parotid gland swelling in a previously reported unresponsive case
J Am Dent Assoc, September 1, 2005; 136(9): 1282 - 1285.
[Abstract] [Full Text] [PDF]


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