Baltic Dental and Maxillofacial Journal
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June, 2007, Vol. 9, No. 2



The diagnostic process for temporomandibular disorders


Growth factors, apoptotic cells and barx1 gene in bone and soft tissue of skeletal class III patients

Reliability of ARCUSdigma (KaVo®) in diagnosing temporomandibular joint pathology

Influence of the mechanical properties of composites for indirect dental restorations on pattern failure


Sarcoidosis (Heerfordt syndrome): A case report

© 2007 Stomatologija

Stomatologija 2007; 9 (2): 61-64 504 KB

Sarcoidosis (Heerfordt syndrome): A case report

Tiia Tamme, Edvitar Leibur, Andres Kulla


We report the case of a 22-year-old woman who is suspected of having primary Sjögren´s syndrome. She complaining of bilateral swelling of eyelids and the parotid glands of three weeks duration. Physical examination revealed a bilateral enlargement of both parotid glands, which were solid and painful. Sjögren´s syndrome was suspected at that stage, and the serologic and specific analysis were done. All these tests didn´t find any autoimmune or visceral features typical of Sjögren´s syndrome and autoantibodies were negative. During follow-up time the right facial nerve palsy developed. Pulmonary radiography revealed bihilar lymphadenopathy and labial salivary gland biopsy revealed non-caseating granuloma. The patient was classified as having stage I sarcoidosis. This case demonstrates the importance of being aware of the leading clinical signs and symptoms in case of Heerfordt syndrome.

Key words: Sjögren syndrome, sarcoidosis, Heerfordt syndrome

Received: 01 06 2007

Accepted for publishing: 10 07 2007

1Department of Maxillofacial Surgery, University of Tartu, Estonia

2Department of Pathology, University of Tartu, Estonia

Tiia Tamme1 – MD,, senior lecturer

Edvitar Leibur1 – MD, PhD, Dr. med.Sc., professor emeritus

Andres Kulla2 – MD, Professor and head of the Department of Pathology, University of Tartu

Address correspondence to Dr. Tiia Tamme, Department of Maxillofacial Surgery, Tartu University Hospital, 8 L.Puusepa Str. Tartu 51014, Estonia