J Oral Med Oral Surg
Volume 24, Number 1, January 2018
|Page(s)||22 - 23|
|Section||Cas clinique / Short case report|
|Published online||25 May 2018|
Short Case Report
Sjögren syndrome hidden by previous parotidectomy and cervicofacial radiotherapy
Center Léon Bérard, Surgical Department,
28 rue Laennec,
2 Faculty of Dentistry, 11 rue Guillaume Paradin, 69008 Lyon, France
* Correspondence: email@example.com
Accepted: 3 October 2017
Introduction: Sjögren’s syndrome (SS) is a chronic inflammatory auto-immune disease of the exocrine glands which incidence increases with age. Sex ratio is 9.9 female for 1 male. Observation: A 67-year-old female patient presented for xerostomia leading to major functional impairment. The medical history of the patient was pulmonary sarcoidosis, with join and adenoid involvement, considered as cured; left partial parotidectomy, with a diagnosis of acinous carcinoma, followed 7 years later by a total parotidectomy due to tumor recurrence, and followed by external radiotherapy (70 Gy). Arterial hypertension, hypothyroïditis and diabetes mellitus were also noticed. She reported xerostomia and xerophtalmia. Seric anti-SSA antibodies were positive and histologic findings were compatible with SS. Commentaries: Despite other co-morbidities, the diagnosis was hidden by previous parotidectomy and cervical radiotherapy. Thus, SS should not be underdiagnosed in patients with complex medical history.
Key words: syndrome / Sjögren / xerostomy
© The authors, 2018
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