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Summary

We report the case of a 22-year-old woman who is suspected of having primary Sjögren´s syndrome. She complaining of bilateral swelling of eyelids and the parotid glands of three weeks duration. Physical examination revealed a bilateral enlargement of both parotid glands, which were solid and painful. Sjögren´s syndrome was suspected at that stage, and the serologic and specific analysis were done. All these tests didn´t find any autoimmune or visceral features typical of Sjögren´s syndrome and autoantibodies were negative. During follow-up time the right facial nerve palsy developed. Pulmonary radiography revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed non-caseating granuloma. The patient was classified as having stage I sarcoidosis. This case demonstrates the importance of being aware of the leading clinical signs and symptoms in case of Heerfordt syndrome.

Key words: Sjögren syndrome, sarcoidosis, Heerfordt syndrome

Received: 01 06 2007

Accepted for publishing: 10 07 2007

¹Department of Maxillofacial Surgery, University of Tartu, Estonia

²Department of Pathology, University of Tartu, Estonia

Tiia Tamme¹ – MD, Dr.med.Sc., senior lecturer

Edvitar Leibur¹ – MD, PhD, Dr. med.Sc., professor emeritus

Andres Kulla² – MD, Dr.med.Sc. Professor and head of the Department of Pathology, University of Tartu

Address correspondence to Dr. Tiia Tamme, Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia
E-mail: tiia.tamme@kliinikum.ee



	Baltic Dental and Maxillofacial Journal

June, 2007, Vol. 9, No. 2 CONTENTS REVIEWS The diagnostic process for temporomandibular disorders 35-39 SCIENTIFIC ARTICLES Growth factors, apoptotic cells and barx1 gene in bone and soft tissue of skeletal class III patients 40-46 Reliability of ARCUSdigma (KaVo®) in diagnosing temporomandibular joint pathology 47-55 Influence of the mechanical properties of composites for indirect dental restorations on pattern failure 56-60 CLINICAL CASE REPORTS Sarcoidosis (Heerfordt syndrome): A case report 61-64 © 2007 Stomatologija		Stomatologija 2007; 9 (2): 61-64 504 KB Sarcoidosis (Heerfordt syndrome): A case report Tiia Tamme, Edvitar Leibur, Andres Kulla Summary We report the case of a 22-year-old woman who is suspected of having primary Sjögren´s syndrome. She complaining of bilateral swelling of eyelids and the parotid glands of three weeks duration. Physical examination revealed a bilateral enlargement of both parotid glands, which were solid and painful. Sjögren´s syndrome was suspected at that stage, and the serologic and specific analysis were done. All these tests didn´t find any autoimmune or visceral features typical of Sjögren´s syndrome and autoantibodies were negative. During follow-up time the right facial nerve palsy developed. Pulmonary radiography revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed non-caseating granuloma. The patient was classified as having stage I sarcoidosis. This case demonstrates the importance of being aware of the leading clinical signs and symptoms in case of Heerfordt syndrome. Key words: Sjögren syndrome, sarcoidosis, Heerfordt syndrome Received: 01 06 2007 Accepted for publishing: 10 07 2007 ¹Department of Maxillofacial Surgery, University of Tartu, Estonia ²Department of Pathology, University of Tartu, Estonia Tiia Tamme¹ – MD, Dr.med.Sc., senior lecturer Edvitar Leibur¹ – MD, PhD, Dr. med.Sc., professor emeritus Andres Kulla² – MD, Dr.med.Sc. Professor and head of the Department of Pathology, University of Tartu Address correspondence to Dr. Tiia Tamme, Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia E-mail: tiia.tamme@kliinikum.ee