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  Vol. 128 No. 2, February 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case

Brian J. Baumgartner, MD; Douglas M. Sorensen, MD; Craig C. Willard, DDS, MS
Madigan Army Medical Center, Tacoma, Wash

Arch Otolaryngol Head Neck Surg. 2002;128:195-196.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN OTHERWISE healthy 26-year-old white woman presented with bilateral parotid gland swelling in January 2000. She reported that she had had a severe bout of mononucleosis in November 1999, with fevers, chills, odynophagia, fatigue, severe myalgias and arthralgias, and enlarged parotid glands. Further history revealed occasional dry eyes, dry skin, and a "clicking" with swallowing. She denied shortness of breath, cough, dysphagia, odynophagia, skin lesions, and recent weight loss. Except for persistent parotid swelling, her symptoms had resolved. Before presenting at our clinic, she had received 4 short courses of corticosteroids that had significantly reduced the swelling.

The results of the head and neck examination were unremarkable except for nontender swelling of the parotid glands, which was greater on the left side (Figure 1). The pulmonary, cardiac, abdominal, skin, and extremity examinations revealed no abnormalities. . . . [Full Text of this Article]



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