Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Acute lymphoblasic leukemia with initial manifestation of bilateral parotid gland enlargement, Case report

Document Type : Case Report

Authors
Naghibzade Naghibzadeh
Mohammad Reza Majidi
Roghayye Arabkhani
Department of otorhinolaryngology- head and neck surgery, Ghaem hospital, Mashhad University of Medical Sciences, Iran
10.22038/ijorl.2009.806
Abstract
Introduction: Bilateral parotid gland enlargement is commonly caused by viral, metabolic and autoimmune mechanisms. We present a patient with leukemia whose only clinical sign was bilateral enlargement of parotid gland.
Case Report: The patient was a 34-year-old male who was admitted with bilateral painless progressive parotid gland enlargement from 3 months ago. Laboratory investigations revealed leukocytosis, anemia, partial thrombocytopenia and increased sedimentation rate. Definite diagnosis was confirmed by bone marrow biopsy indicating acute lymphoblastic leukemia.
Conclusion: Although bilateral parotid gland enlargement is a common manifestation of viral and autoimmune diseases, blood malignancies should also be considered for this condition.
 
 
Keywords
Parotid enlargement
acute lymphoblastic leukemia
Lymphoma
Iranian Journal of Otorhinolaryngology
Volume 20, Issue 54 - Serial Number 54
January and February 2009
Pages 213-216