Sialolithiasis differential diagnosis: Difference between revisions

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Revision as of 17:56, 6 February 2018

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
Diseases	Onset	Unilateral/Bilateral	Pain	Swelling	Tenderness	Purulent discharge	Common site of involvement	ESR	Leukocytosis	Other Findings
Salivary gland stone	Acute	Unilateral	+	+	+	-	Submandibular gland	↑/NL	↑/NL
Acute bacterial sialadenitis	Acute	Unilateral	+	+	+	+	Parotid	↑	↑
Chronic bacterial sialadenitis	Chronic	Unilateral	+	+	-	-	Parotid	↑	↑
Viral sialadenitis	Acute	Bilateral	+	+	+	-	Parotid	↑	↑
Human immunodeficiency virus	Acute	Bilateral	+	+	-	-	Parotid	NL	NL
Radiation sialadenitis	Acute	Unilateral	+	+	+	-	Depends on the treatment field	NL	NL
Sarcoidosis	Gradual	Bilateral	-	+	-	-	Parotid	↑	↑
Sjögren's syndrome	Gradual	Bilateral	+/-	+	-	-	Parotid or submandibular glands	↑/NL	↑/NL
Malnutrition	Gradual	Bilateral	+/-	+	-	-	Parotid	NL	NL
Salivary gland tumors	Subacute	Unilateral	-	+	-	-	Parotid	↑/NL	↑/NL

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.

Template:WH Template:WS

[pmid24862601-1] 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.

[pmid248626012-2] 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.

[pmid28516973-3] 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.

[pmid20824782-4] 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.

[pmid208247822-5] 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.

[6] Loury, MC (2006). "Salivary gland disorder". Advanced Otolaryngology.

[pmid2385766-7] 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.

[pmid9747195-8] Silvers AR, Som PM (1998). "Salivary glands". Radiol. Clin. North Am. 36 (5): 941–66, vi. PMID 9747195.

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@@ Line 14: / Line 14: @@
 ! rowspan="2" |Diseases
 ! colspan="7" |Symptoms and sign
-! colspan="4" |Laboratory Findings
+! colspan="2" |Laboratory Findings
 ! rowspan="2" |Other Findings
 |- style="background: #4479BA; color: #FFFFFF; text-align: center;"
@@ Line 26: / Line 26: @@
 !ESR
 !Leukocytosis
-!Lab Test 3
-!Lab Test 4
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |Salivary gland stone
@@ Line 38: / Line 36: @@
 | style="background: #F5F5F5; padding: 5px;" |Submandibular gland
 | 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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 52: / Line 48: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
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 |-
@@ Line 66: / Line 60: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
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 |-
@@ Line 80: / Line 72: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 94: / Line 84: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 108: / Line 96: @@
 | style="background: #F5F5F5; padding: 5px;" |Depends on the treatment field
 | 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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 122: / Line 108: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 136: / Line 120: @@
 | style="background: #F5F5F5; padding: 5px;" |Parotid or submandibular glands
 | 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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 150: / Line 132: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |-
@@ Line 164: / Line 144: @@
 | style="background: #F5F5F5; padding: 5px;" |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;" |
 | style="background: #F5F5F5; padding: 5px;" |
 |}