Sialolithiasis differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Sialolithiasis]] | |||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}}{{MJ}} | ||
==Overview== | ==Overview== | ||
Sialolithiasis must be differentiated from other diseases that cause swelling in [[Salivary gland|salivary glands]], such as acute bacterial [[sialadenitis]], chronic bacterial [[sialadenitis]], viral [[sialadenitis]], [[Human Immunodeficiency Virus (HIV)|human immunodeficiency viru]]<nowiki/>s, [[Radiation therapy|radiation]], and systemic diseases such as, [[sarcoidosis]], and [[sjögren's syndrome]]. | |||
[ | |||
==Differentiating Sialolithiasis from other Diseases== | ==Differentiating Sialolithiasis from other Diseases== | ||
Sialolithiasis must be differentiated from other diseases that cause swelling in [[Salivary gland|salivary glands]], such as acute bacterial [[sialadenitis]], chronic bacterial [[sialadenitis]], viral [[sialadenitis]], [[Human Immunodeficiency Virus (HIV)|human immunodeficiency viru]]<nowiki/>s, [[Radiation therapy|radiation]], and systemic diseases such as, [[sarcoidosis]], and [[sjögren's syndrome]].<ref name="pmid24862601">{{cite journal |vauthors=Delli K, Spijkervet FK, Vissink A |title=Salivary gland diseases: infections, sialolithiasis and mucoceles |journal=Monogr Oral Sci |volume=24 |issue= |pages=135–48 |year=2014 |pmid=24862601 |doi=10.1159/000358794 |url=}}</ref><ref name="pmid248626012">{{cite journal |vauthors=Delli K, Spijkervet FK, Vissink A |title=Salivary gland diseases: infections, sialolithiasis and mucoceles |journal=Monogr Oral Sci |volume=24 |issue= |pages=135–48 |year=2014 |pmid=24862601 |doi=10.1159/000358794 |url=}}</ref><ref name="pmid28516973">{{cite journal |vauthors=Capaccio P, Torretta S, Pignataro L, Koch M |title=Salivary lithotripsy in the era of sialendoscopy |journal=Acta Otorhinolaryngol Ital |volume=37 |issue=2 |pages=113–121 |year=2017 |pmid=28516973 |pmc=5463518 |doi=10.14639/0392-100X-1600 |url=}}</ref><ref name="pmid20824782">{{cite journal |vauthors=Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR |title=Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy |journal=Laryngoscope |volume=120 |issue=10 |pages=1974–8 |year=2010 |pmid=20824782 |doi=10.1002/lary.21082 |url=}}</ref><ref name="pmid208247822">{{cite journal |vauthors=Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR |title=Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy |journal=Laryngoscope |volume=120 |issue=10 |pages=1974–8 |year=2010 |pmid=20824782 |doi=10.1002/lary.21082 |url=}}</ref><ref>{{Cite journal|last=Loury|first=MC|date=2006|title=Salivary gland disorder|url=|journal=Advanced Otolaryngology|volume=|pages=|via=}}</ref><ref name="pmid2385766">{{cite journal |vauthors=Raad II, Sabbagh MF, Caranasos GJ |title=Acute bacterial sialadenitis: a study of 29 cases and review |journal=Rev. Infect. Dis. |volume=12 |issue=4 |pages=591–601 |year=1990 |pmid=2385766 |doi= |url=}}</ref><ref name="pmid9747195">{{cite journal |vauthors=Silvers AR, Som PM |title=Salivary glands |journal=Radiol. Clin. North Am. |volume=36 |issue=5 |pages=941–66, vi |year=1998 |pmid=9747195 |doi= |url=}}</ref> | |||
===Differentiating Sialolithiasis from other Diseases table=== | ===Differentiating Sialolithiasis from other Diseases table=== | ||
| Line 18: | Line 14: | ||
! rowspan="2" |Diseases | ! rowspan="2" |Diseases | ||
! colspan="7" |Symptoms and sign | ! colspan="7" |Symptoms and sign | ||
! colspan=" | ! colspan="2" |Laboratory Findings | ||
! rowspan="2" |Other Findings | ! rowspan="2" |Other Findings | ||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
| Line 30: | Line 26: | ||
!ESR | !ESR | ||
!Leukocytosis | !Leukocytosis | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Sialolithiasis | ||
| style="background: #F5F5F5; padding: 5px;" |Acute | | style="background: #F5F5F5; padding: 5px;" |Acute | ||
| style="background: #F5F5F5; padding: 5px;" |Unilateral | | style="background: #F5F5F5; padding: 5px;" |Unilateral | ||
| Line 40: | Line 34: | ||
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Submandibular gland | | style="background: #F5F5F5; padding: 5px;" |[[Submandibular gland]] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑/NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑/NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Radio-opaque in [[X-rays|X-ray]] | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute bacterial sialadenitis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sialadenitis|Acute bacterial sialadenitis]] | ||
| style="background: #F5F5F5; padding: 5px;" |Acute | | style="background: #F5F5F5; padding: 5px;" |Acute | ||
| style="background: #F5F5F5; padding: 5px;" |Unilateral | | style="background: #F5F5F5; padding: 5px;" |Unilateral | ||
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| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Other sign of [[infection]] may be present | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Chronic bacterial sialadenitis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sialadenitis|Chronic bacterial sialadenitis]] | ||
| style="background: #F5F5F5; padding: 5px;" |Chronic | | style="background: #F5F5F5; padding: 5px;" |Chronic | ||
| style="background: #F5F5F5; padding: 5px;" |Unilateral | | style="background: #F5F5F5; padding: 5px;" |Unilateral | ||
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| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | +/- | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Other sign of [[infection]] may be present | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Viral sialadenitis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sialadenitis|Viral sialadenitis]] | ||
| style="background: #F5F5F5; padding: 5px;" |Acute | | style="background: #F5F5F5; padding: 5px;" |Acute | ||
| style="background: #F5F5F5; padding: 5px;" |Bilateral | | style="background: #F5F5F5; padding: 5px;" |Bilateral | ||
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| style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | | style="background: #F5F5F5; padding: 5px;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑ | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |[[Coryza|Coryza symptoms]] | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Human immunodeficiency virus | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Human Immunodeficiency Virus (HIV)|Human immunodeficiency virus]] | ||
| style="background: #F5F5F5; padding: 5px;" |Acute | | style="background: #F5F5F5; padding: 5px;" |Acute | ||
| style="background: #F5F5F5; padding: 5px;" |Bilateral | | style="background: #F5F5F5; padding: 5px;" |Bilateral | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |NL | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Other systemic findings of [[Human Immunodeficiency Virus (HIV)|HIV]]/ check [[ELISA]] | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | Radiation sialadenitis | | style="background: #DCDCDC; padding: 5px; text-align: center;" | Radiation [[sialadenitis]] | ||
| style="background: #F5F5F5; padding: 5px;" |Acute | | style="background: #F5F5F5; padding: 5px;" |Acute | ||
| style="background: #F5F5F5; padding: 5px;" |Unilateral | | style="background: #F5F5F5; padding: 5px;" |Unilateral | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Depends on the treatment field | | style="background: #F5F5F5; padding: 5px;" |Depends on the treatment field | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |History of [[Radiation therapy|radiation]] in the [[salivary gland]] site | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sarcoidosis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Salivary gland tumor|Salivary gland tumors]] | ||
| style="background: #F5F5F5; padding: 5px;" |Subacute | |||
| style="background: #F5F5F5; padding: 5px;" |Unilateral | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | + | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" | - | |||
| style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | |||
| style="background: #F5F5F5; padding: 5px;" |↑/NL | |||
| style="background: #F5F5F5; padding: 5px;" |↑/NL | |||
| style="background: #F5F5F5; padding: 5px;" |Advance age | |||
|- | |||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sarcoidosis]] | |||
| style="background: #F5F5F5; padding: 5px;" |Gradual | | style="background: #F5F5F5; padding: 5px;" |Gradual | ||
| style="background: #F5F5F5; padding: 5px;" |Bilateral | | style="background: #F5F5F5; padding: 5px;" |Bilateral | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" |↑ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Systemic findings in other organs | ||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sjögren's syndrome | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Sjögren's syndrome]] | ||
| style="background: #F5F5F5; padding: 5px;" |Gradual | | style="background: #F5F5F5; padding: 5px;" |Gradual | ||
| style="background: #F5F5F5; padding: 5px;" |Bilateral | | style="background: #F5F5F5; padding: 5px;" |Bilateral | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid or submandibular glands | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] or [[Submandibular gland|submandibular glands]] | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑/NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |↑/NL | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" |Dry eye/dry mouth | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Malnutrition | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malnutrition]] | ||
| style="background: #F5F5F5; padding: 5px;" |Gradual | | style="background: #F5F5F5; padding: 5px;" |Gradual | ||
| style="background: #F5F5F5; padding: 5px;" |Bilateral | | style="background: #F5F5F5; padding: 5px;" |Bilateral | ||
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| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" | - | | style="background: #F5F5F5; padding: 5px;" | - | ||
| style="background: #F5F5F5; padding: 5px;" |Parotid | | style="background: #F5F5F5; padding: 5px;" |[[Parotid gland|Parotid]] | ||
| style="background: #F5F5F5; padding: 5px;" |NL | |||
| style="background: #F5F5F5; padding: 5px;" |NL | |||
| style="background: #F5F5F5; padding: 5px;" |Systemic findings in other organs | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
| style="background: #F5F5F5; padding: 5px;" | | |||
|} | |} | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | |||
[[Category:Gastroenterology]] | |||
[[Category:Medicine]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 00:10, 30 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
Overview
Sialolithiasis must be differentiated from other diseases that cause swelling in salivary glands, such as acute bacterial sialadenitis, chronic bacterial sialadenitis, viral sialadenitis, human immunodeficiency virus, radiation, and systemic diseases such as, sarcoidosis, and sjögren's syndrome.
Differentiating Sialolithiasis from other Diseases
Sialolithiasis must be differentiated from other diseases that cause swelling in salivary glands, such as acute bacterial sialadenitis, chronic bacterial sialadenitis, viral sialadenitis, human immunodeficiency virus, radiation, and systemic diseases such as, sarcoidosis, and sjögren's syndrome.[1][2][3][4][5][6][7][8]
Differentiating Sialolithiasis from other Diseases table
| Diseases | Symptoms and sign | Laboratory Findings | Other Findings | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Onset | Unilateral/Bilateral | Pain | Swelling | Tenderness | Purulent discharge | Common site of involvement | ESR | Leukocytosis | ||
| Sialolithiasis | Acute | Unilateral | + | + | + | - | Submandibular gland | ↑/NL | ↑/NL | Radio-opaque in X-ray |
| Acute bacterial sialadenitis | Acute | Unilateral | + | + | + | + | Parotid | ↑ | ↑ | Other sign of infection may be present |
| Chronic bacterial sialadenitis | Chronic | Unilateral | + | + | - | +/- | Parotid | ↑ | ↑ | Other sign of infection may be present |
| Viral sialadenitis | Acute | Bilateral | + | + | + | - | Parotid | ↑ | ↑ | Coryza symptoms |
| Human immunodeficiency virus | Acute | Bilateral | + | + | - | - | Parotid | NL | NL | Other systemic findings of HIV/ check ELISA |
| Radiation sialadenitis | Acute | Unilateral | + | + | + | - | Depends on the treatment field | NL | NL | History of radiation in the salivary gland site |
| Salivary gland tumors | Subacute | Unilateral | - | + | - | - | Parotid | ↑/NL | ↑/NL | Advance age |
| Sarcoidosis | Gradual | Bilateral | - | + | - | - | Parotid | ↑ | ↑ | Systemic findings in other organs |
| Sjögren's syndrome | Gradual | Bilateral | +/- | + | - | - | Parotid or submandibular glands | ↑/NL | ↑/NL | Dry eye/dry mouth |
| Malnutrition | Gradual | Bilateral | +/- | + | - | - | Parotid | NL | NL | Systemic findings in other organs |
References
- ↑ Delli K, Spijkervet FK, Vissink A (2014). "Salivary gland diseases: infections, sialolithiasis and mucoceles". Monogr Oral Sci. 24: 135–48. doi:10.1159/000358794. PMID 24862601.
- ↑ Delli K, Spijkervet FK, Vissink A (2014). "Salivary gland diseases: infections, sialolithiasis and mucoceles". Monogr Oral Sci. 24: 135–48. doi:10.1159/000358794. PMID 24862601.
- ↑ Capaccio P, Torretta S, Pignataro L, Koch M (2017). "Salivary lithotripsy in the era of sialendoscopy". Acta Otorhinolaryngol Ital. 37 (2): 113–121. doi:10.14639/0392-100X-1600. PMC 5463518. PMID 28516973.
- ↑ Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR (2010). "Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy". Laryngoscope. 120 (10): 1974–8. doi:10.1002/lary.21082. PMID 20824782.
- ↑ Wallace E, Tauzin M, Hagan J, Schaitkin B, Walvekar RR (2010). "Management of giant sialoliths: review of the literature and preliminary experience with interventional sialendoscopy". Laryngoscope. 120 (10): 1974–8. doi:10.1002/lary.21082. PMID 20824782.
- ↑ Loury, MC (2006). "Salivary gland disorder". Advanced Otolaryngology.
- ↑ Raad II, Sabbagh MF, Caranasos GJ (1990). "Acute bacterial sialadenitis: a study of 29 cases and review". Rev. Infect. Dis. 12 (4): 591–601. PMID 2385766.
- ↑ Silvers AR, Som PM (1998). "Salivary glands". Radiol. Clin. North Am. 36 (5): 941–66, vi. PMID 9747195.