SALIVARY-GLAND INVOLVEMENT IN WEGENERS GRANULOMATOSIS - A CASE-REPORTAND REVIEW OF THE LITERATURE

Late involvement of the parotid gland in a patient with a limited form of Wegener's granulomatosis is presented. We report the full course o f the disease and the difficulties encountered in determining the natu re of the parotid enlargement. We discuss the contribution of computer ized tomography and ultrasonography to elucidate parenchymal morpholog ic findings and radioisotope studies to determine the functional capac ity of the gland. In cases of Wegener's granulomatosis with salivary s ymptoms, measurement of salivary gland functional capacity, in additio n to the c-ANCA test, may help to monitor disease activity. Despite th e rarity of the disease, in cases when granulomatous diseases are cons idered, it should be recognized that Wegener's granulomatosis may resu lt in salivary gland involvement.