Contrast-Induced Sialadenitis of the Sublingual Glands

Contrast-induced sialadenitis (CIS) is a rare, delayed pseudoallergic reaction from iodine containing contrast. Previously reported cases of CIS demonstrated that the two major salivary glands (parotid and submandibular) can be affected. The initial encounter of this entity can raise alarms to physi...

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Main Authors: Ki Wan Park, Albert Y. Han, Christine M. Kim, Kenric Tam, Dinesh K. Chhetri
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/8851382
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author Ki Wan Park
Albert Y. Han
Christine M. Kim
Kenric Tam
Dinesh K. Chhetri
author_facet Ki Wan Park
Albert Y. Han
Christine M. Kim
Kenric Tam
Dinesh K. Chhetri
author_sort Ki Wan Park
collection DOAJ
description Contrast-induced sialadenitis (CIS) is a rare, delayed pseudoallergic reaction from iodine containing contrast. Previously reported cases of CIS demonstrated that the two major salivary glands (parotid and submandibular) can be affected. The initial encounter of this entity can raise alarms to physicians as the differential diagnoses include serious infectious and inflammatory conditions such as Ludwig’s angina and angioedema. Subsequently, it may lead to unnecessary testing and increased healthcare cost. Here we present a 60-year-old male who presented with bilateral sublingual gland swelling following exposure to iodinated contrast. With timely diagnosis by the otolaryngologist, the patient received conservative management that led to a full resolution within a few days. To date, this is the first case of CIS only involving the sublingual glands. We conclude that CIS can involve any of the major salivary glands.
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institution Kabale University
issn 2090-6765
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publishDate 2020-01-01
publisher Wiley
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series Case Reports in Otolaryngology
spelling doaj-art-477ceecef7a54b68ad46fc9c543e03772025-02-03T06:46:53ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/88513828851382Contrast-Induced Sialadenitis of the Sublingual GlandsKi Wan Park0Albert Y. Han1Christine M. Kim2Kenric Tam3Dinesh K. Chhetri4Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USADepartment of Head and Neck Surgery, University of California, Los Angeles, California, USADepartment of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USADepartment of Head and Neck Surgery, University of California, Los Angeles, California, USADepartment of Head and Neck Surgery, University of California, Los Angeles, California, USAContrast-induced sialadenitis (CIS) is a rare, delayed pseudoallergic reaction from iodine containing contrast. Previously reported cases of CIS demonstrated that the two major salivary glands (parotid and submandibular) can be affected. The initial encounter of this entity can raise alarms to physicians as the differential diagnoses include serious infectious and inflammatory conditions such as Ludwig’s angina and angioedema. Subsequently, it may lead to unnecessary testing and increased healthcare cost. Here we present a 60-year-old male who presented with bilateral sublingual gland swelling following exposure to iodinated contrast. With timely diagnosis by the otolaryngologist, the patient received conservative management that led to a full resolution within a few days. To date, this is the first case of CIS only involving the sublingual glands. We conclude that CIS can involve any of the major salivary glands.http://dx.doi.org/10.1155/2020/8851382
spellingShingle Ki Wan Park
Albert Y. Han
Christine M. Kim
Kenric Tam
Dinesh K. Chhetri
Contrast-Induced Sialadenitis of the Sublingual Glands
Case Reports in Otolaryngology
title Contrast-Induced Sialadenitis of the Sublingual Glands
title_full Contrast-Induced Sialadenitis of the Sublingual Glands
title_fullStr Contrast-Induced Sialadenitis of the Sublingual Glands
title_full_unstemmed Contrast-Induced Sialadenitis of the Sublingual Glands
title_short Contrast-Induced Sialadenitis of the Sublingual Glands
title_sort contrast induced sialadenitis of the sublingual glands
url http://dx.doi.org/10.1155/2020/8851382
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AT kenrictam contrastinducedsialadenitisofthesublingualglands
AT dineshkchhetri contrastinducedsialadenitisofthesublingualglands