Systemic lupus erythematosus presenting as parotitis and secondary Sjogren's syndrome

Azarisman SMS, Heselynn H
Correspondence: Dr Azarisman Shah Mohd Shah, risman1973@hotmail.com

ABSTRACT
A 38-year-old woman presented with right-sided parotid swelling, dry mouth and dry eyes of one year duration. Her Schirmer's test and sialometry were positive and histopathology showed lymphoplasmacytic infiltration. She also had concomitant normochromic, normocytic anaemia and mild haematuria. Her anti-nuclear antibody titre was also positive, 1:640, with a speckled pattern on immunofluorescence. We discuss the atypical presentation of systemic lupus erythematosus, particularly parotitis and secondary Sjogren's syndrome.

Keywords: parotitis, Sjogren’s syndrome, systemic lupus erythematosus
Singapore Med J 2007; 48(2): e60–e61