Ultrasound findings in HIV-positive patients with parotid gland swellings.
OBJECTIVE
This study aimed to determine the role that ultrasound might play in evaluating parotid swellings in patients with human immunodeficiency virus (HIV)-1 disease.


METHODS
The parotid glands of 13 HIV-positive patients, who were previously diagnosed as seropositive and who were referred because they had unilateral or bilateral parotid gland swellings, were examined sonographically.


RESULTS
All patients showed multiple and varied parotid sonolucent areas bilaterally. These patterns reflected the presence of lymphoepithelial cysts, intraparotid lymphadenopathies, and parenchymal lymphoproliferation.


CONCLUSIONS
Because parotid swellings can represent early clinical evidence of HIV disease, comprehensive gland evaluation is mandatory. Ultrasound offers a simple, rapid imaging technique to ascertain the nature of the glandular pathology.
Salivary Gland Center, School of Dental and Oral Surgery, Columbia University, New York Presbyterian Hospital, NY 10032, USA.
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Mandel
D000386:AIDS-Related Complex / Q000000981:diagnostic imaging; D000328:Adult; D002648:Child; D003560:Cysts / Q000000981:diagnostic imaging; D005260:Female; D006679:HIV Seropositivity / Q000000981:diagnostic imaging*; D015497:HIV-1; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging; D008210:Lymphocele / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000000981:diagnostic imaging*; D010306:Parotid Gland / Q000000981:diagnostic imaging*; D014463:Ultrasonography