Presentation of CaseA 68-year-old woman was admitted to the hospital because of lymphadenopathy.Her health was good until 17 years earlier, when her mouth became dry and the right parotid gland became swollen and tender. A parotid abscess was drained. A Schirmer test demonstrated decreased tear formation. A left sialographic examination showed generalized sialectasis. Nine years before admission swelling of the left parotid gland developed, and radiation treatment was given, with improvement. Two years later right parotid swelling recurred, and slight enlargement of the left parotid gland was also observed. Serum immunoelectrophoresis revealed a marked, diffuse increase in IgG . . .
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Cabot et al. (1981) studied this question.
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