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In this rather lengthy monograph the author reports on a meticulous and well-controlled study of the pathologic, radiographic, and secretory function of the parotid glands in a group of 92 patients with a well-established diagnosis of rheumatoid arthritis using 92 randomly selected control cases of corresponding sex and age.
He describes an excellent technique for parotid sialography and in a group of 15 persons demonstrating that the sialographic findings correspond well with the histopathologic findings in the same group of patients, even in those patients who have minimal punctate sialectasia. The study shows that the incidence of pathology on sialography in the patients with rheumatoid arthritis is roughly six times higher than in the control group and that pathology may be found in many patients who had no symptoms by history or findings by routine examination. The studies of the rate of parotid secretion following stimulation with citric acid were
PARKER W. The Parotid Gland in Subjects With and Without Rheumatoid Arthritis, Acta Radiologica, supplementum 275. Arch Otolaryngol. 1969;89(3):560. doi:10.1001/archotol.1969.00770020562032
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