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KMID : 1101020190440040179
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Journal of Oral Medicine and Pain
2019 Volume.44 No. 4 p.179 ~ p.182
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The Use of Salivary Gland Scintigraphy for Diagnosis of Primary Sjogren Syndrome and Thyroid Disease in Patients with Dry Mouth
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Park Keun-Jeong
Kim Bok-Eum
Lee Jung-Eun
Park Youn-Jung
Kwon Jeong-Seung
Ahn Hyung-Joon
Choi Jong-Hoon
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Abstract
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Sjogren syndrome (SS) is a chronic autoimmune disease characterized by dryness of the mouth and eyes due to lymphocytic infiltration of the exocrine glands. In American European Consensus Group (AECG) criteria, abnormal salivary gland scintigraphy (SGS) result is one of the objective signs of SS and it has been proposed as a valid and non-invasive alternative approach to functional evaluation of salivary gland, especially in the case when unstimulated whole salivary flow is more than 1.5 mL in 15 minutes or other AECG criteria is unmet. Patients with SS are more likely to have the thyroid disease (TD), but this association remains controversial. We present a case of the use of SGS for diagnosis of primary SS and TD in patients with dry mouth and burning sensation of tongue. Through this case, we suggest the usefulness of salivary scintigraphy for screening TD in addition to diagnosis of SS.
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KEYWORD
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Burning mouth syndrome, Radionuclide imaging, Sjogren’s syndrome, Thyroid diseases, Xerostomia
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