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Medicine

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Rheumatology

Question
5 out of 10
 

Bilateral parotid enlargement occurs in all, Except: (AIIMS June 11, AI 12)



A Sjögren’s syndrome
B SLE

C HIV
D Chronic pancreatitis

Ans. B SLE

Extra Edge.



Bilateral parotid enlargement is seen in

Viral infection

Metabolic causes

Sarcoidosis

Endocrinal

i. Mumps

ii. Influenza

iii. Epstein Barr virus

iv. Coxsackie virus A

v. CMV

vi. HIV

i. Diabetes mellitus

ii. Hyperlipoproteinemia

iii. Chronic pancreatitis

i. Amyloidosis

ii. Sjögren’s syndrome

i. Gonadal hypofunction

(Extra Edge: SLE is not a cause of parotid enlargement.)

Diagnostic Criteria for Sjögren’s Syndrome

1. Dry eyes

2. Dry mouth

3. Positive Schirmer’s I test

4. Histopathology - Focus score 1 in a minor salivary gland biopsy

5. Reduce salivary flow

6. Antibodies to Ro (SS – A) or La(SS – B), antinuclear antibodies, or rheumatoid factor

Probable Sjögren’s syndrome : three items are present.

Definite Sjögren’s syndrome: four or more items are present.

Rheumatology Flashcard List

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