TY - JOUR
T1 - Manifestations of parotid gland enlargement
T2 - Radiographic, pathologic, and clinical correlations. Part II: The diseases of Mikulicz syndrome
AU - Som, P. M.
AU - Shugar, J. M.A.
AU - Train, J. S.
AU - Biller, H. F.
PY - 1981
Y1 - 1981
N2 - The diseases which Mikulicz syndrome comprises can be differentiated from the autoimmune pseudosialectasias in almost all cases purely on the basis of the sialogram. This is because the sialographic changes of the autoimmune diseases have a unique appearance which no other pathologic process simulates either histologically or radiographically. This is very important when one realizes that in many instances the clinician cannot differentiate between Mikulicz syndrome and the autoimmune pseudosialectasias. This paper reviews the diseases included in Mikulicz syndrome, demonstrates their sialographic findings, and relates the clinical information that might assist in further differentiation of these entities. Information gained by CT-sialography will be emphasized. There are three main clinicopathologic presentations of Mikulicz syndrome: chronic recurrent sialadenitis, parotid sialosis, and the multinodular parotid gland. Each clinical presentation can be mimicked by the autoimmune diseases. It is this very problem that prompted this study. The sialographic appearance differentiates the autoimmune from the non-autoimmune diseases. Further, it can differentiate between sialadenitis, sialosis, and the nonautoimmune multinodular gland. Each of these three entities will be discussed in turn.
AB - The diseases which Mikulicz syndrome comprises can be differentiated from the autoimmune pseudosialectasias in almost all cases purely on the basis of the sialogram. This is because the sialographic changes of the autoimmune diseases have a unique appearance which no other pathologic process simulates either histologically or radiographically. This is very important when one realizes that in many instances the clinician cannot differentiate between Mikulicz syndrome and the autoimmune pseudosialectasias. This paper reviews the diseases included in Mikulicz syndrome, demonstrates their sialographic findings, and relates the clinical information that might assist in further differentiation of these entities. Information gained by CT-sialography will be emphasized. There are three main clinicopathologic presentations of Mikulicz syndrome: chronic recurrent sialadenitis, parotid sialosis, and the multinodular parotid gland. Each clinical presentation can be mimicked by the autoimmune diseases. It is this very problem that prompted this study. The sialographic appearance differentiates the autoimmune from the non-autoimmune diseases. Further, it can differentiate between sialadenitis, sialosis, and the nonautoimmune multinodular gland. Each of these three entities will be discussed in turn.
UR - http://www.scopus.com/inward/record.url?scp=0019783660&partnerID=8YFLogxK
U2 - 10.1148/radiology.141.2.7291567
DO - 10.1148/radiology.141.2.7291567
M3 - Article
C2 - 7291567
AN - SCOPUS:0019783660
SN - 0033-8419
VL - 141
SP - 421
EP - 426
JO - Radiology
JF - Radiology
IS - 2
ER -