title: Painful parotid hypertrophy with bulimia: a report of medical management.
abstract: In eating disorders, such as bulimia nervosa, body image disturbance often extends beyond the realm of weight and shape into the dermatologic spectrum. While commonly associated conditions due to binging and self-induced vomiting include cutaneous entities (e.g., Russell's sign, acne, alopecia and hypertrichosis) and oral pathologies (e.g., enamel erosion, caries and mild parotid hypertrophy), a rare but troubling manifestation is disfiguring parotid enlargement (sialoadenomegaly). This article presents a case of painful sialoadenomegaly associated with hyperamylasemia in a bulimic patient successfully managed with pilocarpine.
authors.affiliation: Northeastern Ohio Universities College of Medicine, Rootstown, Ohio, USA.
authors.forename: Kelly K
authors.initials: KK
authors.lastname: Park
authors.forename: Rebecca C
authors.initials: RC
authors.lastname: Tung
authors.forename: Arlene Ruiz
authors.initials: AR
authors.lastname: de Luzuriaga
mesh_terms: D000328:Adult; D002032:Bulimia / Q000150:complications*; D005260:Female; D006801:Humans; D034321:Hyperamylasemia / Q000209:etiology; D006984:Hypertrophy; D010146:Pain / Q000188:drug therapy / Q000503:physiopathology*; D010306:Parotid Gland / Q000473:pathology* / Q000503:physiopathology; D010862:Pilocarpine / Q000627:therapeutic use*; D013361:Sublingual Gland / Q000473:pathology
chemical_list: D010862:Pilocarpine