Case records of the Massachusetts General Hospital. Case 24-2009. A 26-year-old woman with painful swelling of the neck.

Presentation of Case Dr. John H. Stone: A 26-year-old woman was seen in the rheumatology clinic of this hospital because of painful swelling on both sides of the neck. She had been well until approximately 3 months earlier, when dry mouth and increased thirst developed. Two weeks later, submental swelling occurred that was associated with local tenderness, pain on swallowing (with solids more than with liquids), and decreased appetite. Approximately 4 weeks after the onset of symptoms, she saw a physician; cephalexin was prescribed, with no improvement. During the next 2 weeks, pain developed in both ears. Seven weeks before evaluation at this . . . [Full Text of this Article] Differential Diagnosis Infectious Diseases Neoplastic Diseases Immunologic Diseases Systemic Lupus Erythematosus Sjögren's Syndrome Chronic Sclerosing Sialadenitis http://content.nejm.org/cgi/content/short/361/5/511?query=TOC Full Text PDF PDA Full Text PowerPoint Slide Set CME Exam Purchase this article