title: Benign parotid enlargement in bulimia.
abstract: Bulimia is an episodic compulsive urge to overeat often followed by recurrent attempts to lose weight by self-induced vomiting. Seven young women with this eating disorder and associated benign bilateral painless parotid enlargement are described. The glandular swelling was generally intermittent, with parotid enlargement usually developing 2 to 6 days after a binge overeating episode had stopped. Several had hypokalemic alkalosis and a moderate elevation in serum amylase levels. None had clinical evidence of pancreatitis, and a parotid gland biopsy in one patient was normal. The clinician should be alerted to the association of benign parotid enlargement with this syndrome.
mesh_terms: D000293:Adolescent; D000328:Adult; D000471:Alkalosis / Q000150:complications; D000681:Amylases / Q000097:blood; D001068:Feeding and Eating Disorders / Q000150:complications*; D005260:Female; D006801:Humans; D006963:Hyperphagia / Q000150:complications* / Q000201:enzymology; D006984:Hypertrophy; D010306:Parotid Gland / Q000473:pathology*
chemical_list: D000681:Amylases