Sjögren syndrome

Case contributed by RMH Report Writing

Presentation

Dry mouth and dry eyes.

Patient Data

Age: 48-year-old
Gender: Female

Left parotid sialogram

Modality: DSA (angiography)

Left parotid recurrent sialadenitis. Sjögren syndrome. ?Intra-glandular calculus

A Rabinov catheter was used to cannulate the left parotid duct orifice. Omnipaque contrast was injected.

No calculus identified radiographically on the preliminary images.

Contrast shows the parotid duct to have a fine beaded appearance, with this beading extending into the intraglandular ducts. Contrast spilling into enlarged acini has an "apple tree" pattern. Small filling defects in these distal acini are more likely inspissated content.

Conclusion

Findings are in keeping with known Sjögren syndrome.

Case Discussion

The sialogram findings are in keeping with long-standing Sjögren syndrome.

Any condition that causes chronic inflammation, such as recurrent sialadenitis, can give a similar appearance of sialectasis

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Case Information

rID: 38958
Case created: 13th Aug 2015
Last edited: 13th Nov 2016
System: Head & Neck
Tag: rmh
Inclusion in quiz mode: Included

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