Parotid swelling

Keywords: Salivary gland disorders

Causes

Appropriate Tests

Parotitis

 

  • Viral
    • Mumps
    • Coxsackievirus infection

Viral serology is not clinically useful.

  • Bacterial (suppurative), especially
    • Postoperative
    • Dehydration
    • Alcoholism
    • Parotid calculi

MCS pus from salivary duct or fistula; Fine needle aspiration biopsy.

Connective tissue diseases, especially

  • Sjögren syndrome

 

Parotid tumours

Lesion biopsy or Fine needle aspiration biopsy.

Lymphoma (classification)

Lesion biopsy or Fine needle aspiration biopsy.

Sarcoidosis

Ca level, Angiotensin Converting Enzyme (ACE). Lesion biopsy or Fine needle aspiration biopsy.

Drug reactions, especially

 

  • Iodine