Bilateral Parotid Sialadenosis Associated with Long-Standing Bulimia: A Case Report and Literature Review
Bulimia is a common cause of sialadenosis. This paper presents a case of bilateral parotid sialadenosis associated with long-standing bulimia, and reviews the relevant literature and current treatment options.
Methods and Results
A 32-year-old woman had severe bilateral parotid sialomegaly for the last 6 years, which had occurred secondary to bulimia nervosa, which she had since 14 years. Treatment with pilocarpine was unsuccessful, so she underwent bilateral conservative parotidectomy. This procedure not only improved the aesthetic appearance of the patient but also improved her social and work life and overall quality of life.
Sialomegaly secondary to bulimia results in a major alteration of the aesthetics of a patient’s face. Conservative measures are not enough in many cases, and parotidectomy may be the only viable option, as it can also significantly improve adherence to psychiatric treatment for bulimia, in addition to correcting the facial aesthetics.
KeywordsBulimia Parotid gland Sialadenosis Parotidectomy Eating disorder
Compliance with Ethical Standards
Conflicts of interest
The researchers declare no conflicts of interest.
- 1.Donath K (1976) Sialadenosis of the parotid gland. Ultrastructural, clinical and experimental findings in disturbances of secretion. Veroff Pathol 103:1–122Google Scholar
- 3.Devlin MJ, Steinglass JE (2010) Eating disorders. In: Cutler JL, Marcus ER (eds) Psychiatry, 2nd edn. Oxford University Press, New YorkGoogle Scholar
- 10.Nassour DN, Patel SV, Kosseifi SG, Jordan RM, Peiris AN (2007) Marked bilateral parotid enlargement in metabolic syndrome: a case report and review of the literature. Tenn Med 100:39–41Google Scholar
- 13.Monteleone P, Santonastaso P, Pannuto M, Favaro A, Caregaro L, Castaldo E, Zanetti T, Maj M (2005) Enhanced serum cholesterol and triglyceride levels in bulimia nervosa: relationships to psychiatric comorbidity, psychopathology and hormonal variables. Psychiatry Res 134:267–273CrossRefPubMedGoogle Scholar
- 17.Hay PJ, Claudino AM (2015) Bulimia nervosa: online interventions. BMJ Clin Evid 1:1009Google Scholar