Sialolithiasis differential diagnosis: Difference between revisions

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Revision as of 18:10, 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
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 ELIZA
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.

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 27: / Line 27: @@
 !Leukocytosis
 |-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |Salivary gland stone
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |Sialolithiasis
 | style="background: #F5F5F5; padding: 5px;" |Acute
 | style="background: #F5F5F5; padding: 5px;" |Unilateral
@@ Line 37: / Line 37: @@
 | style="background: #F5F5F5; padding: 5px;" |↑/NL
 | style="background: #F5F5F5; padding: 5px;" |↑/NL
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Radio-opaque in X-ray
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |Acute bacterial sialadenitis
@@ Line 49: / Line 49: @@
 | 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: #DCDCDC; padding: 5px; text-align: center;" |Chronic bacterial sialadenitis
@@ Line 57: / Line 57: @@
 | 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;" |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: #DCDCDC; padding: 5px; text-align: center;" |Viral sialadenitis
@@ Line 73: / Line 73: @@
 | style="background: #F5F5F5; padding: 5px;" |↑
 | style="background: #F5F5F5; padding: 5px;" |↑
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Coryza symptoms
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" |Human immunodeficiency virus
@@ Line 85: / Line 85: @@
 | style="background: #F5F5F5; padding: 5px;" |NL
 | style="background: #F5F5F5; padding: 5px;" |NL
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Other systemic findings of HIV/ check ELIZA
 |-
 | style="background: #DCDCDC; padding: 5px; text-align: center;" | Radiation sialadenitis
@@ Line 97: / Line 97: @@
 | style="background: #F5F5F5; padding: 5px;" |NL
 | style="background: #F5F5F5; padding: 5px;" |NL
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |History of radiation in the salivary gland site
+|-
+| style="background: #DCDCDC; padding: 5px; text-align: center;" |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
+| 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
@@ Line 109: / Line 121: @@
 | 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: #DCDCDC; padding: 5px; text-align: center;" |Sjögren's syndrome
@@ Line 121: / Line 133: @@
 | style="background: #F5F5F5; padding: 5px;" |↑/NL
 | 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
@@ Line 133: / Line 145: @@
 | style="background: #F5F5F5; padding: 5px;" |NL
 | style="background: #F5F5F5; padding: 5px;" |NL
-| style="background: #F5F5F5; padding: 5px;" |
+| style="background: #F5F5F5; padding: 5px;" |Systemic findings in other organs
-|-
-| style="background: #DCDCDC; padding: 5px; text-align: center;" |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
-| style="background: #F5F5F5; padding: 5px;" |↑/NL
-| style="background: #F5F5F5; padding: 5px;" |↑/NL
-| style="background: #F5F5F5; padding: 5px;" |
 |}