唾液腺炎
- 関
- sialadenitis
WordNet
- inflammation of the salivary glands
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/02/05 17:53:09」(JST)
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| Sialadenitis(Sialoadenitis) | 
|  | 
| Micrograph showing chronic sialadenitis. H&E stain. | 
| Classification and external resources | 
| ICD-10 | K11.2 | 
| ICD-9-CM | 527.2 | 
| MeSH | D012793 | 
| [edit on Wikidata] | 
Sialadenitis (sialoadenitis) is inflammation of a salivary gland. It may be subdivided temporally into acute, chronic and recurrent forms.
Contents
- 1 Acute
- 2 Chronic
- 3 See also
- 4 References
 
Acute
- Predisposing factors
- sialolithiasis
- decreased flow (dehydration, post-operative, drugs)
- poor oral hygiene
- exacerbation of low grade chronic sialoadenitis
- Clinical features
- Painful swelling
- Reddened skin
- Edema of the cheek, Periorbital region and neck
- low grade fever
- malaise
- raised ESR, CRP, leucocytosis
- purulent exudate from duct punctum
Chronic
Main article: Chronic sclerosing sialadenitis
- Clinical Features
- unilateral
- mild pain / swelling
- common after meals
- duct orifice is reddened and flow decreases
- may or may not have visible/palpable stone.
- Parotid gland
- Recurrent painful swellings
 
- Submandibular gland
- Usually secondary to sialolithiasis or stricture
 
- Treatment
In chronic recurrent sialadenitis or chronic sclerosing sialadenitis, acute attacks are managed with conservative therapies such as hydration, analgesics (mainly NSAIDs), sialogogues to stimulate salivary secretion, and regular, gentle gland massage.[1] If infection is present, appropriate cultures should be obtained, followed by empirical antibiotic therapy initially,[1] for example amoxicillin/clavulanate or clindamycin which cover oral flora.
If there are attacks more than approximately 3 times per year or severe attacks, surgical excision of the affected gland should be considered.[1]
See also
References
- ^ a b c bestpractice.bmj.com > Sialadenitis Last updated: Sep 08, 2011
 
| Oral and maxillofacial pathology (K00–K06, K11–K14, 520–525, 527–529) | 
|  | 
| 
| Lips |  
|  |  
| 
Cheilitis
ActinicAngularPlasma cellCleft lipCongenital lip pitEclabiumHerpes labialisMacrocheiliaMicrocheiliaNasolabial cystSun poisoningTrumpeter's wart |  | 
|  | 
| 
| Tongue |  
|  |  
| 
AnkyloglossiaBlack hairy tongueCaviar tongueCrenated tongueCunnilingus tongueFissured tongueFoliate papillitisGlossitis
Geographic tongueMedian rhomboid glossitisTransient lingual papillitisGlossoptosisHypoglossiaLingual thyroidMacroglossiaMicroglossiaRhabdomyoma |  | 
|  | 
| 
| Palate |  
|  |  
| 
Bednar's aphthaeCleft palateHigh-arched palatePalatal cysts of the newbornInflammatory papillary hyperplasiaStomatitis nicotinaTorus palatinus |  | 
|  | 
| 
| Oral mucosa - Lining of mouth |  
|  |  
| 
Amalgam tattooAngina bullosa haemorrhagicaBehçet syndromeBohn's nodulesBurning mouth syndromeCandidiasisCondyloma acuminatumDarier's diseaseEpulis fissuratumErythema multiformeErythroplakiaFibroma
Focal epithelial hyperplasiaFordyce spotsHairy leukoplakiaHand, foot and mouth diseaseHereditary benign intraepithelial dyskeratosisHerpanginaHerpes zosterIntraoral dental sinusLeukoedemaLeukoplakiaLichen planusLinea albaLupus erythematosusMelanocytic nevusMelanocytic oral lesionMolluscum contagiosumMorsicatio buccarumOral cancer
Benign: Squamous cell papillomaKeratoacanthomaMalignant: Adenosquamous carcinomaBasaloid squamous carcinomaMucosal melanomaSpindle cell carcinomaSquamous cell carcinomaVerrucous carcinomaOral florid papillomatosisOral melanosis
Pemphigoid
PemphigusPlasmoacanthomaStomatitis
AphthousDenture-relatedHerpeticSmokeless tobacco keratosisSubmucous fibrosisUlcerationVerruca vulgarisVerruciform xanthomaWhite sponge nevus |  | 
|  | 
| 
| Teeth (pulp, dentin, enamel) |  
|  |  
| 
Amelogenesis imperfectaAnkylosisAnodontiaCaries
ConcrescenceFailure of eruption of teethDens evaginatus
Dentin dysplasiaDentin hypersensitivityDentinogenesis imperfectaDilacerationDiscolorationEctopic enamelEnamel hypocalcificationEnamel hypoplasia
Enamel pearlFluorosisFusionGeminationHyperdontiaHypodontia
Maxillary lateral incisor agenesisImpaction
MacrodontiaMeth mouthMicrodontiaOdontogenic tumors
Keratocystic odontogenic tumourOdontoma
Open contactPremature eruption
Pulp calcification
Pulp canal obliterationPulp necrosisPulp polypPulpitisRegional odontodysplasiaResorptionShovel-shaped incisorsSupernumerary rootTaurodontismTrauma
AvulsionCracked tooth syndromeVertical root fractureOcclusalTooth loss
Tooth wear
AbrasionAbfractionAcid erosionAttrition |  | 
|  | 
| 
| Periodontium (gingiva, periodontal ligament, cementum, alveolus) - Gums and tooth-supporting structures |  
|  |  
| 
CementicleCementoblastoma
CementomaEruption cystEpulis
Pyogenic granulomaCongenital epulisGingival enlargementGingival cyst of the adultGingival cyst of the newbornGingivitis
DesquamativeGranulomatousPlasma cellHereditary gingival fibromatosisHypercementosisHypocementosisLinear gingival erythemaNecrotizing periodontal diseases
Acute necrotizing ulcerative gingivitisPericoronitisPeri-implantitisPeriodontal abscessPeriodontal traumaPeriodontitis
AggressiveAs a manifestation of systemic diseaseChronicPerio-endo lesionTeething |  | 
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| 
| Periapaical, mandibular and maxillary hard tissues - Bones of jaws |  
|  |  
| 
AgnathiaAlveolar osteitisBuccal exostosisCherubismIdiopathic osteosclerosisMandibular fractureMicrogeniaMicrognathiaIntraosseous cysts
Odontogenic: periapicalDentigerousBuccal bifurcationLateral periodontalGlobulomaxillaryCalcifying odontogenicGlandular odontogenicNon-odontogenic: Nasopalatine ductMedian mandibularMedian palatalTraumatic boneOsteomaOsteomyelitisOsteonecrosis
Bisphosphonate-associatedNeuralgia-inducing cavitational osteonecrosisOsteoradionecrosisOsteoporotic bone marrow defectPaget's disease of bonePeriapical abscess
Periapical periodontitisStafne defectTorus mandibularis |  | 
|  | 
| 
| Temporomandibular joints, muscles of mastication and malocclusions - Jaw joints, chewing muscles and bite abnormalities |  
|  |  
| 
BruxismCondylar resorptionMandibular dislocationMalocclusion
CrossbiteOpen biteOverbiteOvereruptionOverjetPrognathiaRetrognathiaScissor biteMaxillary hypoplasiaTemporomandibular joint dysfunction |  | 
|  | 
| 
| Salivary glands |  
|  |  
| 
Benign lymphoepithelial lesionEctopic salivary gland tissueFrey's syndromeHIV salivary gland diseaseNecrotizing sialometaplasiaMucocele
PneumoparotitisSalivary duct strictureSalivary gland aplasiaSalivary gland atresiaSalivary gland diverticulumSalivary gland fistulaSalivary gland hyperplasiaSalivary gland hypoplasiaSalivary gland neoplasms
Benign: Basal cell adenomaCanalicular adenomaDuctal papillomaMonomorphic adenomaMyoepitheliomaOncocytomaPapillary cystadenoma lymphomatosumPleomorphic adenomaSebaceous adenomaMalignant: Acinic cell carcinomaAdenocarcinomaAdenoid cystic carcinomaCarcinoma ex pleomorphic adenomaLymphomaMucoepidermoid carcinomaSclerosing polycystic adenosisSialadenitis
ParotitisChronic sclerosing sialadenitisSialectasisSialoceleSialodochitisSialosisSialolithiasisSjögren's syndrome |  | 
|  | 
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| Orofacial soft tissues - Soft tissues around the mouth |  
|  |  
| 
ActinomycosisAngioedemaBasal cell carcinomaCutaneous sinus of dental originCystic hygromaGnathophymaLudwig's anginaMacrostomiaMelkersson–Rosenthal syndromeMicrostomiaNomaOral Crohn's diseaseOrofacial granulomatosisPerioral dermatitisPyostomatitis vegetans |  | 
|  | 
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| Other |  
|  |  
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Eagle syndromeHemifacial hypertrophyFacial hemiatrophyOral manifestations of systemic disease |  | 
 
| Inflammation | 
|  | 
| Acute | 
| Plasma derived mediators | 
Bradykinincomplement
coagulation
Factor XIIPlasminThrombin |  
|  |  
| Cell derived mediators | 
| preformed: | 
Lysosome granulesbiogenic amines
 |  
|  |  
| synthesized on demand: | 
cytokines
eicosanoids
Leukotriene B4ProstaglandinsNitric oxideKinins |  |  | 
|  | 
| Chronic | 
MacrophageEpithelioid cellGiant cellGranuloma | 
|  | 
| Processes | 
| Traditional: | 
RuborCalorTumorDolorFunctio laesa |  
|  |  
| Modern: | 
Acute-phase reaction/FeverVasodilationIncreased vascular permeabilityExudateLeukocyte extravasationChemotaxis |  | 
|  | 
| Specific locations |  | 
 
 
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Cost-effectiveness of transfacial gland-preserving removal of parotid sialoliths.
- Ong AA1, Carroll WW1, Nguyen SA1, Gillespie MB1.
- The Laryngoscope.Laryngoscope.2017 May;127(5):1080-1086. doi: 10.1002/lary.26342. Epub  2016 Nov 22.
- PMID 27873327
 
 
- Sialadenitis without sialolithiasis: Prospective outcomes after sialendoscopy-assisted salivary duct surgery.
- Delagnes EA1, Aubin-Pouliot A2, Zheng M1, Chang JL2, Ryan WR3.
- The Laryngoscope.Laryngoscope.2017 May;127(5):1073-1079. doi: 10.1002/lary.26308. Epub  2016 Oct 4.
- PMID 27701754
 
 
- Natural history and Predictors of Progression to Sjögren's Syndrome Among Participants of the SICCA registry.
- Shiboski CH1, Baer AN2, Shiboski SC3, Lam M3, Challacombe S4, Lanfranchi HE5, Schiødt M6, Shirlaw P4, Srinivasan M7, Umehara H8, Vivino FB9, Akpek E2, Bunya V9, Vollenweider CF10, Greenspan JS1, Daniels TE1, Criswell LA11; Sjögren's International Collaborative Clinical Alliance (SICCA) Research Groups.
- Arthritis care & research.Arthritis Care Res (Hoboken).2017 Apr 24. doi: 10.1002/acr.23264. [Epub ahead of print]
- PMID 28437595
 
 
Japanese Journal
- 日本口腔内科学会雑誌 = Journal of Japanese Society of Oral Medicine 20(2), 42-46, 2014-12
- NAID 40020388452
 
 
 
- 局所の病態生理:唾液腺における免疫学的異常を中心に
 
Related Links
- sialadenitis Infection of the salivary glands caused by viruses (e.g., mumps parotiditis) or bacteria, which is linked to obstruction (as in salivary duct stones) or to poor oral hygiene. Chronology • Acute sialadenitis. • Recurrent ...
- Sialadenitis usually occurs after decreased flow of saliva (hyposecretion) or duct obstruction, but may develop without an obvious cause. Saliva flow can be reduced in people who are sick or recovering from surgery, or ...
- Get information on sialadenitis, a salivary gland inflammation, from Cleveland Clinic. Learn who commonly gets this condition, along with symptoms, causes, and treatments. ... Sialadenitis refers to the inflammation of a salivary ...
Related Pictures







 
★リンクテーブル★
  [★]
- 英
- sialoadenitis, sialitis, inflammation of salivary gland
- 関
  [★]
周期性唾液腺症。慢性唾液腺炎