title: Salivary gland involvement as initial presentation of Wegener's disease.
abstract: We describe a case of Wegener's disease with massive painful bilateral submandibular gland enlargement as the presenting symptom. The diagnosis was based on histologically documented nasal mucosa involvement, focal necrotizing glomerulonephritis, episcleritis and anti-neutrophil cytoplasmic antibody.
authors.affiliation: Department of Internal Medicine, University Hospital Gasthuisberg, Leuven, Belgium.
authors.forename: B G
authors.initials: BG
authors.lastname: Vanhauwaert
authors.forename: T A
authors.initials: TA
authors.lastname: Roskams
authors.forename: S B
authors.initials: SB
authors.lastname: Vanneste
authors.forename: D C
authors.initials: DC
authors.lastname: Knockaert
mesh_terms: D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D013363:Submandibular Gland / Q000473:pathology; D013364:Submandibular Gland Diseases / Q000209:etiology* / Q000473:pathology