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Updated: Aug 7, 2026

Ultrasonographic Evaluation of Salivary Glands for Sjogren's Syndrome: Diagnostic and Monitoring Insights
Published on: October 13, 2023
[Pseudo-Sjogren's syndrome and bulimia]
J-L Schlienger1, F Luca, S Vinzio
1Service de Médecine Interne et de Nutrition, Hôpital de Hautepierre, 67098 Strasbourg Cedex, France. jean-louis.schlienger@chru-strasbourg.fr
Introduction:
Bilateral parotid enlargement are presenting features of some metabolic and systemic disease but also of chronic emesis.
Case Record:
A 24-year old woman consulted during three years many physicians asking for the treatment of a painless parotid swelling confusing with a Sjogren's syndrome. After an initial denial, the weight history, alteration of tooth wear and hypokaliemia conducted to admit a self inducing vomiting with bulimia nervosa.
Conclusion:
Gender, young age, weight history, tooth alteration and electrolytic disorders are the main diagnostic tool of this dissimulated etiology of parotid swelling.
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