The forgotten cause of sicca complex; sarcoidosis

dc.contributor.authorDrosos, A. A.en
dc.contributor.authorConstantopoulos, S. H.en
dc.contributor.authorPsychos, D.en
dc.contributor.authorStefanou, D.en
dc.contributor.authorPapadimitriou, C. S.en
dc.contributor.authorMoutsopoulos, H. M.en
dc.date.accessioned2015-11-24T19:41:23Z
dc.date.available2015-11-24T19:41:23Z
dc.identifier.issn0315-162X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24477
dc.rightsDefault Licence-
dc.subjectBiopsyen
dc.subjectDry Eye Syndromes/*etiologyen
dc.subjectFemaleen
dc.subjectGranuloma/pathologyen
dc.subjectHumansen
dc.subjectLung/pathologyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectSalivary Glands, Minor/pathologyen
dc.subjectSarcoidosis/*complications/pathologyen
dc.subjectXerostomia/*etiologyen
dc.titleThe forgotten cause of sicca complex; sarcoidosisen
heal.abstractSarcoidosis is a chronic systemic disease of unknown cause with prominent symptoms from the respiratory system. It can occasionally affect the exocrine glands presenting with xerophthalmia and xerostomia similar to Sjogren's syndrome. We present 5 such patients who visited our rheumatology clinic complaining of dry eyes and mouth. Investigation for xerophthalmia and xerostomia showed positive rose bengal tests in all patients, positive Schirmer's I tests in 4 and decreased parotid flow rate in 3. Minor salivary gland biopsy showed noncaseating granulomas compatible with sarcoidosis in 3. In the other 2 patients the diagnosis was obtained with transbronchial lung biopsy that revealed noncaseating granulomas. Transbronchial lung biopsy also showed granulomas in 2 patients with positive minor salivary gland biopsy. Our results suggest that sarcoidosis can present with initial symptoms of dry eyes and dry mouth. When this happens, transbronchial and minor salivary gland biopsy are very valuable in differentiating sarcoidosis from Sjogren's syndrome.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/2625685-
heal.journalNameJ Rheumatolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1989-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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