title: [Interdisciplinary approach in a patient with IgG4-associated Mikulicz's disease].
abstract: The clinical picture of enlarged submandibular gland and/or enlarged lacrimal gland often leads to difficulties in differential diagnostics. From the perspective of rheumatology Sjögren's syndrome should be excluded especially in patients who complained of xerophthalmia and xerostomia for longer than 3 months. In this article the authors report the case of a patient who presented to clarify swelling of the submandibular gland and xerostomia. In close cooperation with rheumatologists, otolaryngologists and pathologists the diagnosis of IgG4-associated sialoadenitis (IgG4-associated Mikulicz's disease) could be reached.
authors.affiliation: I. Medizinische Klinik und Poliklinik, Johannes Gutenberg Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland, ktriantafyllias@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Triantafyllias
authors.forename: N
authors.initials: N
authors.lastname: Karaiskaki
authors.forename: T
authors.initials: T
authors.lastname: Hansen
authors.forename: P R
authors.initials: PR
authors.lastname: Galle
authors.forename: A
authors.initials: A
authors.lastname: Schwarting
mesh_terms: D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D008882:Mikulicz' Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology*; D011239:Prednisolone / Q000008:administration & dosage*; D012859:Sjogren's Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology*; D016896:Treatment Outcome; D014987:Xerostomia / Q000175:diagnosis* / Q000276:immunology / Q000517:prevention & control
chemical_list: D000893:Anti-Inflammatory Agents; D007074:Immunoglobulin G; D011239:Prednisolone