B. ASKINFREDERICMDH. WESTRAWILLIAMMD
A 50-YEAR-OLD white man who was seropositive for human immunodeficiency virus (HIV) presented with a 3-week history of painless swelling of the left parotid gland. He had been diagnosed as having HIV infection 17 years earlier. He had no opportunistic infections, and a recent absolute CD4 cell count was 566/µL. Notably, he had been effectively treated with radiation therapy and chemotherapy 10 years ago for stage IV Hodgkin disease.
Physical examination revealed mild, diffuse, bilateral parotid enlargement. A 2 × 1-cm, nontender, mobile, firm mass was palpable in the tail of the left parotid gland. The facial nerve was intact, and clear saliva was milked from Stenson ducts. The findings of the rest of the examination were normal.
Zim S, Maceri D, Rice DH, Fedenko A. Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2000;126(11):1390-1393. doi:10.1001/archotol.126.11.1390