It is generally accepted that the clinical manifestations of hypersensitivity are numerous and diversified. To the typical allergic states of hay fever, bronchial asthma, perennial allergic rhinitis, and atopic eczema has been added a long list of phenomena less well understood, including certain cases of urticaria, some cases of migraine, many ocular problems, purpura, and a number of others. In such lists, however, allergy of the salivary glands receives scant attention. It is for that reason that the following case report is of interest and challenges admission to the family of allergic diseases.
A white woman, aged 45, reported to the Department of Otolaryngology of Cleveland Clinic on March 12, 1946, with two complaints. For ten years nasal breathing had been difficult and was associated with frequent sneezing and profuse rhinorrhea. In addition, for the preceding four years she had experienced swelling followed by cramping pain around the angles of the jaw, relieved later by a discharge of foamy whitish material into her mouth. This frequently caused eating to be painful.
Nose and throat examination revealed large, pale, boggy turbinates bathed with mucus. No other significant findings were noted. The duct of either the submaxillary or the parotid glands had been dilated and probed previously with negative results.
A roentgenogram of the left parotid and submaxillary regions was taken revealing no evidence of calcification. In view of the history of allergy, the patient was advised to proceed with allergy studies.
Extensive questioning revealed additional evidence of hypersensitivity. The. . .