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The Use of Salivary Gland Scintigraphy for Diagnosis of Primary Sjogren Syndrome and Thyroid Disease in Patients with Dry Mouth

Journal of Oral Medicine and Pain 2019³â 44±Ç 4È£ p.179 ~ 182
Park Keun-Jeong, ±èº¹À½, ÀÌÁ¤Àº, ¹Ú¿¬Á¤, ±ÇÁ¤½Â, ¾ÈÇüÁØ, ÃÖÁ¾ÈÆ,
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 ( Park Keun-Jeong ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
±èº¹À½ ( Kim Bok-Eum ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
ÀÌÁ¤Àº ( Lee Jung-Eun ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¹Ú¿¬Á¤ ( Park Youn-Jung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
±ÇÁ¤½Â ( Kwon Jeong-Seung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¾ÈÇüÁØ ( Ahn Hyung-Joon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
ÃÖÁ¾ÈÆ ( Choi Jong-Hoon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine

Abstract


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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Burning mouth syndrome; Radionuclide imaging; Sjogren¡¯s syndrome; Thyroid diseases; Xerostomia

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