ABSTRACT
We report a case that shows the pathognomonic orofacial features identified with acromegaly. Unilateral parotid gland enlargement was also present. Our investigation showed that the parotid gland swelling was non-neoplastic and part of the organomegaly complex associated with acromegaly. Parotidomegaly represents a very rare finding in acromegaly.
Subject(s)
Acromegaly , Parotid Diseases , Humans , Hypertrophy , Parotid GlandABSTRACT
Radioactive iodine (131I) is used in the treatment of differentiated thyroid cancers. Collateral damage to the salivary glands (SGs) can be anticipated. Standard therapeutic doses of 131I often cause SG obstructive symptomatology and hyposalivation can develop with the higher 131I doses used for aggressive thyroid malignancies with or without metastases.
Subject(s)
Iodine Radioisotopes , Thyroid Neoplasms , Xerostomia , Humans , Iodine Radioisotopes/administration & dosage , Iodine Radioisotopes/adverse effects , Salivary Glands , Thyroid Neoplasms/radiotherapy , Xerostomia/etiologyABSTRACT
The lingual tonsil (LT), located at the base of the tongue posterior to the circumvallate papillae, consists of aggregates of lymphoid tissue separated by a median glossoepiglottic ligament that splits the LT into right and left halves. Tonsillar tissue on either side of the ligament exhibits discrete round nodules that project upward. Each prominence is covered by nonkeratinized epithelium and has a central crypt formed by an invagination of the overlying epithelium. Ducts of adjacent mucous glands empty into the crypt, serving as a flushing mechanism to cleanse the crypt. A thin fibrous connective tissue capsule isolates the LT from the underlying tongue musculature. Lingual tonsillar tissue tends to regress with aging. Hypertrophy and pathologic changes of the LT can develop and cause subjective symptomatology. Patient complaints include sore throats, dysphagia, globus sensation, dyspnea, obstructive sleep apnea, dysgeusia, halitosis, and otalgia. Tonsilloliths in the palatine tonsil are often reported, but the LT also can develop a tonsillolith. Only 1 report of LT tonsilloliths was found in the English-language dental literature. Because of its literary rarity, this report presents a case of an incidental finding of a lingual tonsillolith. Diagnostic skills are sharpened when such cases are brought to the attention of the profession.
Subject(s)
Calculi , Halitosis , Lithiasis , Palatine Tonsil , Sleep Apnea, Obstructive , Calculi/diagnosis , Humans , Hypertrophy , Incidental Findings , Lithiasis/diagnosis , Palatine Tonsil/pathology , TongueABSTRACT
Radioactive iodine (131I) is used effectively for the treatment of differentiated thyroid cancers. Because it is actively secreted by the salivary glands, radiation damage to these glands can occur. Obstructive swellings after mealtime salivary stimulation are common occurrences. Dry mouth is not usually seen if low doses of 131I are used. A subjective complaint of xerostomia in a patient treated with 131I 75.8 mCi proved to be related to the simultaneous presence of Sjögren syndrome (SS). Serologic, histologic, scintigraphic, and salivary volume findings and the patient's subjective complaints served to establish the pre-existence of SS.
Subject(s)
Sialadenitis/pathology , Sjogren's Syndrome/pathology , Diagnosis, Differential , Female , Humans , Iodine Radioisotopes/adverse effects , Middle Aged , Sialadenitis/etiologyABSTRACT
The acidity of wine can cause dental erosion. Furthermore, its constituents may lead to excessive staining of teeth. The authors report the case of a patient whose amount, manner and timing of wine consumption caused these dental problems.
Subject(s)
Tooth Erosion/chemically induced , Wine/adverse effects , Humans , Male , Middle Aged , Tooth Erosion/pathologyABSTRACT
The authors examined a 55-year-old female who had received eight intravenous infusions of a potent bisphosphonate (BP) for metastatic bone disease. A mandibular extraction was subsequently performed. At presentation, infection with suppuration and sequestrum formation were observed in the area of extraction. Both the oncologist and dental practitioner must be made aware that when BPs are going to be administered, dental care should be performed in a timely fashion. Prophylactic measures must be taken by the dentist if dental surgery is required for a patient who has received BP.
Subject(s)
Bisphosphonate-Associated Osteonecrosis of the Jaw/complications , Postoperative Complications/etiology , Tooth Extraction , Female , Humans , Mandible/pathology , Middle AgedABSTRACT
Increased salivary demand can lead to enlarged parotid salivary glands, and increased activity of the masseter muscles can cause masseter hypertrophy. This report describes a most unusual case of simultaneous bilateral hypertrophies of the parotid gland and masseter muscle originating from the very extensive habit of chewing gum. An extensive literature review uncovered many cases of the independent existence of masseteric or parotid hypertrophy, but no example of the simultaneous occurrence of these 2 conditions.
Subject(s)
Chewing Gum/adverse effects , Hypertrophy/complications , Masseter Muscle/abnormalities , Masseter Muscle/pathology , Parotid Gland/pathology , Female , Humans , Hypertrophy/etiology , Hypertrophy/pathology , Middle AgedABSTRACT
Sialosis is observed in relation to diabetes, alcoholism, and malnutrition. An assumed relation between gout and sialosis is probably based on confusion that originated from the therapeutic use of phenylbutazone for gout and the sialadenitis that the medication caused. This report describes a case of sialosis in a patient with a longstanding history of gout that was idiopathic in origin.
Subject(s)
Gout/complications , Salivary Gland Diseases/etiology , Biopsy , Humans , Male , Middle Aged , Parotid Gland/diagnostic imaging , Parotid Gland/pathology , Salivary Gland Diseases/diagnostic imaging , Salivary Gland Diseases/pathology , Salivary Glands/diagnostic imaging , Salivary Glands/pathology , Tomography, X-Ray ComputedABSTRACT
Castleman disease (CD), a benign lymphoproliferative disorder that affects lymph nodes, is uncommon in children, with only approximately 100 cases published. Although 23% of pediatric CD cases are found in the neck, there is no substantial reported percentage found in the salivary glands, especially the submandibular salivary gland (SMSG). A pediatric case of CD involving the SMSG is reported because of its extreme rarity.
Subject(s)
Castleman Disease/diagnosis , Submandibular Gland Diseases/diagnosis , Castleman Disease/surgery , Child , Diagnosis, Differential , Female , Humans , Submandibular Gland Diseases/surgery , Tomography, X-Ray ComputedABSTRACT
Diagnosis of juvenile recurrent parotitis is based upon clinical symptomatology, because no positive serologic signs have been identified. Objective confirmation is best obtained from sialographic or ultrasound studies.
Subject(s)
Parotitis/diagnosis , Child , Child, Preschool , Diagnosis, Differential , Dilatation, Pathologic/diagnosis , Dilatation, Pathologic/diagnostic imaging , Female , Humans , Parotitis/diagnostic imaging , Salivary Ducts/diagnostic imaging , Sialography/methods , UltrasonographyABSTRACT
Polycystic ovarian syndrome (PCOS) is recognized by the presence of polycystic ovaries, irregular menstruation, and increased androgen levels. Many patients have insulin resistance or impaired glucose tolerance and an associated development of type 2 diabetes mellitus. A patient with PCOS is presented whose cosmetic concerns centered on the prolonged existence of substantial bilateral parotid swelling. The pathophysiology, diagnosis, and therapy of sialosis are discussed.
Subject(s)
Parotid Diseases/etiology , Polycystic Ovary Syndrome/complications , Adult , Biopsy, Needle , Female , Humans , Parotid Diseases/diagnosis , Parotid Diseases/diagnostic imaging , Parotid Diseases/pathology , Parotid Gland/diagnostic imaging , Parotid Gland/pathology , Tomography, X-Ray ComputedABSTRACT
Eagle syndrome (ES) is now defined as both an elongation of the styloid process (SP) and ossification of the stylohyoid ligament (SHL). Because subjective symptomatology is varied or can be absent, imaging is the best approach to diagnosis.
Subject(s)
Ossification, Heterotopic/diagnostic imaging , Temporal Bone/abnormalities , Female , Humans , Middle Aged , Radiography, Panoramic , Temporal Bone/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
The clinical features of the rarely reported and diagnostically challenging parotid gland lipoma are described. Presurgical diagnosis is aided by CT scan imaging.
Subject(s)
Lipoma/diagnosis , Parotid Neoplasms/diagnosis , Adipocytes/pathology , Diagnosis, Differential , Dissection/methods , Humans , Male , Middle Aged , Tomography, X-Ray Computed/methodsABSTRACT
Non-medication-related acquired deficiencies of C1 esterase inhibitor (C1-INH) can cause the facial acquired angioedema (AAE) seen in systemic lupus erythematosus (SLE). The defect can originate from a lymphoproliferative disease (LPD) that catabolizes C1-INH or from circulating antibodies that inactivate C1-INH. This report describes a third and rare variety of facial AAE originating in SLE in which there was no LPD or circulating antibodies to impede C1-INH activity.
Subject(s)
Angioedema/complications , Face/pathology , Lupus Erythematosus, Systemic/complications , Adult , Angioedema/diagnosis , Angioedema/drug therapy , Female , Humans , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/drug therapyABSTRACT
Patients with salivary gland disease present with certain objective and/or subjective signs. An accurate diagnosis for these patients requires a range of techniques that includes the organized integration of information derived from their history, clinical examination, imaging, serology, and histopathology. This article highlights the signs and symptoms of the salivary gland disorders seen in the Salivary Gland Center, and emphasizes the methodology used to achieve a definitive diagnosis and therapy.
