Sarcoidosis (Heerfordt syndrome): a case report.
We report the case of a 22-year-old woman who is suspected of having primary Sjögren s syndrome. She complaining of bilateral swelling of eyelids and the parotid glands of three weeks duration. Physical examination revealed a bilateral enlargement of both parotid glands, which were solid and painful. Sjögren s syndrome was suspected at that stage, and the serologic and specific analysis were done. All these tests didn t find any autoimmune or visceral features typical of Sjögren s syndrome and autoantibodies were negative. During follow-up time the right facial nerve palsy developed. Pulmonary radiography revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed non-caseating granuloma. The patient was classified as having stage I sarcoidosis. This case demonstrates the importance of being aware of the leading clinical signs and symptoms in case of Heerfordt syndrome.
Tamme
Tiia
T
Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia. tiia.tamme@kliinikum.ee
Leibur
Edvitar
E
Kulla
Andres
A
D000328:Adult; D003937:Diagnosis, Differential; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006099:Granuloma / Q000209:etiology; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D012859:Sjogren's Syndrome / Q000175:diagnosis*; D014608:Uveoparotid Fever / Q000175:diagnosis*; D014985:Xerophthalmia / Q000209:etiology; D014987:Xerostomia / Q000209:etiology