Figure 3: A-Plain CT coronal shows mildly enlarged bilateral
submandibular salivary glands
B- Post contract CT coronal shows mildly enlarged bilateral
submandibular salivary glands with
heterogenous enhancement
Patient was admitted in ED observation unit and rheumatology team was
consulted. Based on the association of the symptoms with restarting
medication, diagnosis of Azathioprine induced sialadenitis was made.
Thus, AZA was stopped, and his steroid sparing agent was changed to
Mycophenolate mofetil (MMF). Two days later, Patient condition improved
dramatically and was discharged home with plans to continue MMF and
rituximab.