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Sialadenitis

Signs & Symptoms

 Postmenopausal Gr. Female
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Malnutrition
Note: cause decrease in salivary flow rate
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Immunosuppression
Note: cause decrease in salivary flow rate
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Recent surgery
Note: cause sialadenitis,cause effect of anesthetic agents, cause volume depletion , Nosocomial sialadenitis may occur up to a few weeks following surgery.
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]

Physical Examination

 Volume depletion
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Unilateral Facial swelling
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]
Unilateral Facial swelling over the parotid region
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]

Lab / Serology

 Decrease in salivary flow rate
Note: cause salivary gland obstruction
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Positive SSB antibody
Note: due to Sjogren syndrome
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]
Decreased levels of C4 (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]

Imagin Study

 Microlithiasis of salivary glands
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Putative immunologic destruction of acini
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Sialoliths
Note: acute sialadenitis
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]

Complication

 Airway obstruction
Note: due to significant glandular swelling
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]
Stridor
Note: due to Respiratory distress
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]
Wheeze
Note: due to Respiratory distress
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]

Risk Factors

Cause

 Recent surgery
Note: cause sialadenitis,cause effect of anesthetic agents, cause volume depletion , Nosocomial sialadenitis may occur up to a few weeks following surgery.
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Xerostomic medications
Note: Decreased salivary flow rate can predispose to infection. Medications that may contribute include antihistamines, antidepressants, and anticholinergic agents
Ref: Epocrates [ https://online.epocrates.com/diseases/103832/Sialadenitis/Risk-Factors]
Marked lymphoplasmacytic infiltration and fibrosis on solivary gland biopsy #IgG4-related_sialadenitis
Ref: Epocrates [ https://online.epocrates.com/diseases/103833/Sialadenitis/History-Exam]

Other