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

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Author(s): Naghibzade Naghibzadeh | Mohammad Reza Majidi | Roghayye Arabkhani

Journal: Iranian Journal of Otorhinolaryngology
ISSN 2251-7251

Volume: 21;
Issue: 54;
Start page: 213;
Date: 2009;
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Keywords: Parotid enlargement | Acute lymphoblastic leukemia | Lymphoma

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.    
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