[Pseudo-Sjogren's syndrome and bulimia].
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.
Schlienger
J-L
JL
Service de Médecine Interne et de Nutrition, Hôpital de Hautepierre, 67098 Strasbourg Cedex, France. jean-louis.schlienger@chru-strasbourg.fr
Luca
F
F
Vinzio
S
S
D000328:Adult; D002032:Bulimia / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis; D012859:Sjogren's Syndrome / Q000175:diagnosis*