Sjogren's syndrome in scleroderma

Case contributed by Dr Sahra Emamzadehfard


Acute left parotid area swelling - rule out abscess. Known case of scleroderma.

Patient Data

Age: 50 years
Gender: Female

Limited ultrasound examination of the soft tissues of the left parotid region reveals multiple anechoic subcentimeter cystic appearing structures of varying sizes, with the largest measuring up
to 9 mm.


Subcentimeter cystic lesions of varying sizes within a mildly enlarged left parotid gland, may represent acute parotitis or benign lymphoepithelial lesions. No drainable focal fluid collection evident.

The left parotid gland is larger compared to the right and demonstrates adjacent fat stranding without any discrete abscess formation. Diffuse bilateral calcification of parotid glands.The submandibular, and thyroid glands are normal in appearance.

1.  Enlargement of the left parotid gland with adjacent fatty stranding suggestive of parotitis. No CT evidence of abscess formation.
2.  Diffuse bilateral calcification of parotid glands, which can be seen with Sjogren's syndrome, given the history of scleroderma.

Case Discussion

Key points:

  1. Do not forget the possibility of lymphoma in patients with Sjogren's syndrome.
  2. Inflammation of the parotid gland is seen secondary to inflammatory changes of Sjogren's, however, infectious etiologies should always be considered.
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Case information

rID: 58662
Case created: 27th Feb 2018
Last edited: 4th Mar 2018
System: Head & Neck
Inclusion in quiz mode: Included
Institution: University of Texas health Science Center at San Antonio

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