title: [Pseudo-Sjogren's syndrome and bulimia].
abstract: BACKGROUND
  Bilateral parotid enlargement are presenting features of some metabolic and systemic disease but also of chronic emesis.
  
  
  METHODS
  A 24-year old woman consulted during three years many physicians asking for the treatment of a painless parotid swelling confusing with a Sjogren's syndrome. After an initial denial, the weight history, alteration of tooth wear and hypokaliemia conducted to admit a self inducing vomiting with bulimia nervosa.
  
  
  CONCLUSIONS
  Gender, young age, weight history, tooth alteration and electrolytic disorders are the main diagnostic tool of this dissimulated etiology of parotid swelling.
authors.affiliation: Service de Médecine Interne et de Nutrition, Hôpital de Hautepierre, 67098 Strasbourg Cedex, France. jean-louis.schlienger@chru-strasbourg.fr
authors.forename: J-L
authors.initials: JL
authors.lastname: Schlienger
authors.forename: F
authors.initials: F
authors.lastname: Luca
authors.forename: S
authors.initials: S
authors.lastname: Vinzio
mesh_terms: D000328:Adult; D002032:Bulimia / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis; D012859:Sjogren's Syndrome / Q000175:diagnosis*