Τίτλος:
An unusual case report of unilateral parotid gland sarcoidosis with spontaneous remission
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Rationale:Parotid gland sarcoidosis is a well-recognized, but uncommon disease entity. Parotidectomy is most commonly performed to establish the diagnosis and most patients are treated with corticosteroids.Patient concerns:A young female patient presented with right parotid enlargement and developed symptoms of facial nerve palsy during diagnostic investigation.Diagnoses:A fine-needle aspiration cytology showed granulomatous inflammation. The diagnosis of sarcoidosis was eventually established based on the demonstration of the characteristic lambda and panda signs by a Gallium-67 scintigraphy.Interventions:No specific pharmacologic therapy was initiated.Outcomes:The patient's symptoms regressed completely over a period of 3 months. Additionally, she remains asymptomatic 2 years later.Lessons:This case underlines the importance of not initiating corticosteroids in all patients with parotid gland sarcoidosis and suggests that parotidectomy can be avoided in the presence of characteristic for sarcoidosis imaging findings. © 2019 the Author(s).
Συγγραφείς:
Diamantopoulos, P.T.
Charakopoulos, E.
Viniou, N.-A.
Diamantopoulou, L.
Gaggadi, M.
Περιοδικό:
Medicine (United States)
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
betamethasone; gallium 67; hemoglobin; pregabalin, adult; Article; beta thalassemia; case report; clinical article; disease duration; facial nerve paralysis; female; fine needle aspiration biopsy; hemoglobin blood level; human; human tissue; hypothyroidism; mean corpuscular volume; microcytic anemia; nuclear magnetic resonance imaging; parotid enlargement; parotidectomy; priority journal; remission; sarcoidosis; single drug dose; submandibular lymph node; trigeminus neuralgia; parotid gland disease; pathology; remission; sarcoidosis, Adult; Biopsy, Fine-Needle; Female; Humans; Parotid Diseases; Remission, Spontaneous; Sarcoidosis
DOI:
10.1097/MD.0000000000018172
