
What Causes Red Dot On Wharton's Ducts In A Patient With Dysautonomia?

my only history is dysautonomia (POTS syndrome) though I am in the middle of being worked up for an unknown autoimmune disease , though one doctor thinks I could have autoimmune and another is certain I have EDS type III . My ANA at its highest was 1:160 and no antibodies whatsoever . or high inflammation markers (esr, cpk)
I wanted to give you my history in case that could clue in .
Rule out Sjogren's Syndrome.
Detailed Answer:
Hi,
Thank you for your query.
1. I am not sure if you are referring to the Wharton's (submandibular) duct or the Stensen's (parotid) duct as it is easier to touch the tongue to the latter.
2. I would initially treat this as a benign inflammation with either a wait & watch or antibiotics such as Clindamycin with anti inflammatory medication.
3. If this does not subside , it is possible to have salivary and lacrimal (tear) gland problems due to anti developing anto immune disorder which are known to be associated with POTS.
4. Salivary flow measurement, MRI Sialography, Sialendoscopy and biopsy are possible investigations that may be done.
5. Overall, this should be a minor issue in comparison to the effects of POTS, EDS and side effects of your current medication.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
