A Case Report : Bilateral Multiple Sialolithiasis in the Parotid Gland : The Radiologic Diagnosis of Sjogren's Sydrome

ABSTRACT: Sjogren`s syndrome is a rare , slowly progressive, multisystem autoimmune disorder that primarily affects the exocrine glands of the body. Though, may affect virtually all organs, including lungs, nervous, system and kidneys. This is a case of a 28-year-old female who presented with sudden swelling and pain in the left parotid region, and is consequetly diagnosed with Sjogren`s syndrome through ultrasonography and contrast enhaced CT scan in relation the patient`s clinical presentation. Signs and symptoms are non-specific and may be confused with other disease entities such as chronic sialadenitis, salivary gland tumors, viral infections and other autoimmune diseases. Sialolithiasis which refers to stone formation inside the duct or the parechyma of the salivary gland often occur in the submandibular gland (in eighty to ninety percent of cases) and rarely presents with multiple salivary stones. Presence of multiple salivary stones in the bilateral parotid gland is extremely rare even in patients with Sjogren`s syndrome.

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