PMID- 32999909 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 2341-4545 (Print) IS - 2387-1954 (Electronic) IS - 2387-1954 (Linking) VI - 27 IP - 5 DP - 2020 Aug TI - Azathioprine-Induced Acute Submandibular Sialadenitis in a Crohn's Disease Patient. PG - 361-363 LID - 10.1159/000505037 [doi] AB - INTRODUCTION: Azathioprine (AZA) is a widely used immunosuppressive drug in inflammatory bowel disease (IBD). The occurrence of adverse effects (AEs) is a major downside in the use of this drug, leading to treatment withdrawal in a variable proportion of patients. CASE PRESENTATION: We report the case of a Crohn's disease patient who developed sialadenitis as an AE to AZA. DISCUSSION AND CONCLUSION: To our knowledge this AE has been reported only once in the literature. Sialadenitis is a common disorder and refers to inflammation of a salivary gland. It has many causes, such as bacterial and viral infections, ductal obstruction, and drugs. There are several AEs related to this drug, categorized as dose-dependent and dose-independent. Their knowledge is essential for therapeutic management in IBD, which is already challenging, requiring an individualized approach. CI - Copyright (c) 2020 by S. Karger AG, Basel. FAU - Alves da Silva, Joana Ines AU - Alves da Silva JI AD - Gastroenterology, Centro Hospitalar Universitario do Porto, Porto, Portugal. FAU - Caetano, Cidalina AU - Caetano C AD - Gastroenterology, Centro Hospitalar Universitario do Porto, Porto, Portugal. FAU - Pedroto, Isabel AU - Pedroto I AD - Gastroenterology, Centro Hospitalar Universitario do Porto, Porto, Portugal. AD - Instituto de Ciencias Biomedicas Abel Salazar, Porto, Portugal. LA - eng PT - Case Reports DEP - 20200107 PL - Switzerland TA - GE Port J Gastroenterol JT - GE Portuguese journal of gastroenterology JID - 101685861 PMC - PMC7506223 OTO - NOTNLM OT - Adverse effect OT - Azathioprine OT - Crohn's disease OT - Sialadenitis COIS- The authors have no conflicts of interest to declare. EDAT- 2020/10/02 06:00 MHDA- 2020/10/02 06:01 PMCR- 2020/01/07 CRDT- 2020/10/01 05:38 PHST- 2019/07/24 00:00 [received] PHST- 2019/11/12 00:00 [revised] PHST- 2020/10/01 05:38 [entrez] PHST- 2020/10/02 06:00 [pubmed] PHST- 2020/10/02 06:01 [medline] PHST- 2020/01/07 00:00 [pmc-release] AID - pjg-0027-0361 [pii] AID - 10.1159/000505037 [doi] PST - ppublish SO - GE Port J Gastroenterol. 2020 Aug;27(5):361-363. doi: 10.1159/000505037. Epub 2020 Jan 7.