ENLARGEMENT OF SALIVARY-GLANDS IN BULIMIA

We report an unusual case of bulimia nervosa with bilateral swelling o f parotid and submandibular glands as the only symptom of the underlyi ng behavioural disorder. Histologically, sialadenosis was diagnosed in a parotid biopsy. The parotomegaly in bulimia may be a diagnostic pri mer as these patients often deny their eating disorder. B-scan ultraso nography is an important diagnostic tool to assess the nature of the p arotid enlargement. Hyperamylasaemia occurs commonly in bulimic patien ts and may help to confirm the diagnosis. All patients with suspected bulimia should have a thorough medical history and physical examinatio n to rule out other aetiologies of asymptomatic parotid swelling. As t he enlargement is usually transient surgical intervention is only rare ly required.