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We report an unusual case of recurrent parotitis caused by in a 23-year-old female university student with poor oral hygiene and vitamin D insufficiency. Despite multiple antibiotic courses, symptoms persisted, highlighting the complexity of diagnosis and management in such cases. Diagnostic workup included blood tests, which showed normal inflammatory markers, and magnetic resonance sialography, revealing two intraductal stones in the right parotid gland.

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Imaging of the Major Salivary Glands in Rheumatic Disease.

Rheum Dis Clin North Am

November 2024

Department of Medicine, Division of Immunology and Rheumatology, Stanford School of Medicine, 300 Pasteur Drive, East Pavilion, Floor 3, Room H335, Palo Alto, CA 94304, USA.

Article Synopsis
  • Salivary gland issues often occur in patients with rheumatologic diseases, highlighting their importance in diagnosis and treatment.
  • The authors discuss the basic anatomy of major salivary glands and their relevance to these diseases.
  • They also explore various imaging techniques, including ultrasound, MRI, CT scans, sialography, and scintigraphy, which help assess salivary gland health in patients with rheumatologic conditions.
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Background/purpose: 2016 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) primary Sjögren's syndrome (SS) diagnostic criteria did not incorporate radiographic examination while staging SS according to salivary gland imaging and serological autoantibody tests was not discussed. The aim is to study the value of parotid sialography for diagnosing SS, and to initially explore the method of staging SS based on the results of imaging and serological autoantibody tests.

Materials And Methods: 287 patients' clinical records were included.

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Background And Purpose: The aim of this study was to identify dose constraints for the parotid ducts that limit patient-reported xerostomia and estimate whether these constraints are achieved during conventional parotid gland sparing radiation therapy (PGS-RT).

Methods And Materials: Thirty-eight oropharyngeal squamous cell carcinoma patients were treated prospectively on trial with MRI sialography-guided parotid duct sparing radiation therapy (PDS-RT). PDS-RT explicitly minimizes dose to the parotid ducts in addition to PGS-RT.

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