关键词: Mikulicz’s disease case report lacrimal gland salivary gland swelling

Mesh : Adult Diagnosis, Differential Female Humans Immunoglobulin G / immunology Lacrimal Apparatus / diagnostic imaging Mikulicz' Disease / diagnosis immunology physiopathology Salivary Glands / diagnostic imaging Sjogren's Syndrome / diagnosis Ultrasonography

来  源:   DOI:10.11604/pamj.2020.37.252.26835   PDF(Pubmed)

Abstract:
Mikulicz\'s disease is a unique condition involving the enlargement of the lacrimal and salivary glands, similar to that observed in Sjogren\'s syndrome; however, Mikulicz\'s disease is clinically characterized by infrequent autoimmune reactions and responsiveness to glucocorticoid treatment. The ultrasound features of the lacrimal and salivary glands in patients with IgG4-Mikulicz\'s disease were characterized by multiple hypoechoic areas of varying sizes within the enlarged glands. IgG4 serum level was also elevated, in contrast to the detection of normal levels in Sjogren\'s syndrome. In this article, we intended to illustrate a case of Mikulicz\'s disease with clinical and imaging features.
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