Systemic lupus erythematosus presenting as parotitis and secondary Sjogren's syndrome

Singapore Med J. 2007 Feb;48(2):e60-1.

Abstract

A 38-year-old woman presented with right-sided parotid swelling, dry mouth and dry eyes of one year duration. Her Schirmer's test and sialometry were positive and histopathology showed lymphoplasmacytic infiltration. She also had concomitant normochromic , normocytic anaemia and mild haematuria. Her anti-nuclear antibody titre was also positive, 1:640, with a speckled pattern on immunofluorescence. We discuss the atypical presentation of systemic lupus erythematosus, particularly parotitis and secondary Sjogren's syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Dry Eye Syndromes / etiology
  • Female
  • Humans
  • Lupus Erythematosus, Systemic / complications*
  • Parotitis / diagnosis
  • Parotitis / etiology*
  • Sjogren's Syndrome / etiology*
  • Xerostomia / etiology