Sarcoidosis (Heerfordt syndrome): a case report |
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Authors: | Tamme Tiia Leibur Edvitar Kulla Andres |
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Affiliation: | Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia. tiia.tamme@kliinikum.ee |
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Abstract: | We report the case of a 22-year-old woman who is suspected of having primary Sj?gren 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. Sj?gren 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 Sj?gren 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. |
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