HIV disease presenting as a unilateral parotid gland swelling

Radiation therapy for benign lymphoepithelial cysts of parotid glands in HIV patients

“…The classical clinical presentation of BLEC is bilateral (up to 80%) parotid swellings that are multiple (up to 90%), painless, soft, and slowly progressive in size. Unilateral parotid swellings have also been reported . Rarely does BLEC involve any other salivary gland; however, it has been reported as submandibular gland involvement …”

“…Although sclerotherapy is known for causing mild edema and tenderness, no serious complications (i.e., facial nerve injury, infection) have been reported. However, the main disadvantage is that most of the lesions will recur within few months and subsequently continue to grow …”

Human Immunodeficiency Virus–Associated Lipohypertrophy (Buccal Fat Pad Lipoma-Like Lesions) Reduced with Subcutaneously Injected Sodium Deoxycholate

“…One of our initial clinical impressions of the lesions was parotid gland hyperplasia, which is prevalent in 3% to 5% of patients with HIV 27,28 . Parotid gland hyperplasia results from virally induced lymphoproliferation 29 and can be successfully treated with external beam radiation 30 .…”

“…One of our initial clinical impressions of the lesions was parotid gland hyperplasia, which is prevalent in 3% to 5% of patients with HIV. 27,28 Parotid gland hyperplasia results from virally induced lymphoproliferation 29 and can be successfully treated with external beam radiation. 30 External beam radiation generally preserves normal fat tissue and reduces most soft tissue tumors within a month of initiating therapy (personal e-mail communications, Beitler JJ, April 13, 2009).…”

Parotid Gland Swelling Leading to Human Immunodeficiency Virus Infection Diagnosis

“…They concern approximately 5% of HIV-positive patients, and parotids are the most affected glands. 1 The benign lymphoepithelial cysts are more likely to be chronic, multiple, large, and bilateral. Benign lymphoepithelial cysts' pathogenesis remains unclear but may result from both proliferation of epithelium and HIV replication.…”