Regression of HIV parotid swellings after antiviral therapy: case reports with computed tomographic scan evidence.
Parotid swellings have been noted in approximately 5% to 10% of patients with HIV-1. These swellings are a result of lymphoproliferative activity or lymphoepithelial cyst formation in response to a viral parotid presence. Two patients with cosmetic concerns regarding parotid swellings are presented before and after antiviral therapy. Regression of the swellings after treatment is substantiated with clinical photographs and computerized tomographic scans. The successful outcome was a reflection of a diminution in viral load and some degree of immune restoration.
Mandel
Louis
L
Salivary Gland Center, Columbia University School of Dental and Oral Surgery, New York, NY 10032, USA.
Surattanont
Farisa
F
D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D018414:CD8-Positive T-Lymphocytes / Q000473:pathology; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008218:Lymphocytosis / Q000473:pathology; D008232:Lymphoproliferative Disorders / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008297:Male; D019829:Nevirapine / Q000627:therapeutic use; D010305:Parotid Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000473:pathology; D012074:Remission Induction; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D019562:Viral Load; D015215:Zidovudine / Q000627:therapeutic use
D019380:Anti-HIV Agents; D015215:Zidovudine; D019829:Nevirapine