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PAROTID SWELLING |
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acute: |
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mumps parotitis [bilateral]bacterial parotitis [unilateral; usually Staph. aureus]sialolithiasis [usually affects submandibular gland, not parotid] |
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chronic: |
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tumours: |
lymphoma leukaemia pleomorphic adenoma carcinoma |
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other causes: |
sarcoidosis [Heertfordt's syndrome ('uveoparotid fever') = bilateral parotitis, facial palsy, fever and uveitis]tuberculosis syphilis alcoholic cirrhosis bulimia nervosa |
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subacute / intermittent: |
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sialolithiasis (usually unilateral)autoimmune (associated with rheumatoid arthritis or Sjögren's syndrome)Mickulitz syndrome (xerostomia + keratoconjunctivitis sicca) |
NB: involvement of all salivary and lachrymal glands can occur in:
sarcoidosis (commonest cause)
reticuloses
(lymphomas / leukaemias)tuberculosis
Sjögren's syndrome
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