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December 1972

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103; The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1972;96(6):584-587. doi:10.1001/archotol.1972.00770090862018

PATHOLOGIC QUIZ CASE 1  Antonio de la Cruz, MD. Miami, FlaA 26-year-old Puerto Rican man presented a one-month history of indolent progressive bilateral parotid gland enlargement without previous history of similar episodes or signs of infection. Associated with his main complaint were a 9.04-kg (20-lb) weight loss, a sensation of weakness, occasional shortness of breath, and conjunctival itching. On palpation the parotid glands were markedly enlarged, firm, and nontender with normal clear salivary flow. Results of the rest of the examination were unremarkable. Results of a complete blood cell count, urinanalysis, and protein electrophoresis test were normal. The calcium level was 10.7 mg/100 ml and total serum protein level was 8.4 gm/100 ml. Results of a purified protein derivative test were normal. A chest x-ray film (Fig 1) and a biopsy specimen of the parotid tissue (Fig 2) are shown.

PATHOLOGIC QUIZ CASE 2  A. M. Nalevanko, MD, and