Systemic lupus erythematosus presenting as parotitis and secondary Sjogren's syndrome.
A 38-year-old woman presented with right-sided parotid swelling, dry mouth and dry eyes of one year duration. Her Schirmer's test and sialometry were positive and histopathology showed lymphoplasmacytic infiltration. She also had concomitant normochromic , normocytic anaemia and mild haematuria. Her anti-nuclear antibody titre was also positive, 1:640, with a speckled pattern on immunofluorescence. We discuss the atypical presentation of systemic lupus erythematosus, particularly parotitis and secondary Sjogren's syndrome.
Azarisman
S M S
SM
Department of Medicine, International Islamic University Malaysia, Jalan Istana, Bandar Indera Mahkota, Kuantan 25200, Malaysia. risman1973@hotmail.com
Heselynn
H
H
D000328:Adult; D003937:Diagnosis, Differential; D015352:Dry Eye Syndromes / Q000209:etiology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010309:Parotitis / Q000175:diagnosis / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000209:etiology*; D014987:Xerostomia / Q000209:etiology