Galindo L M, Franceschini A, Soltero E, Dávila R
Department of Pathology, Hospital Universitario Ramón Ruiz Arnau, Universidad Central del Caribe Bayamón, Puerto Rico.
Bol Asoc Med P R. 1991 Aug;83(8):340-2.
This article presents a case of a young, otherwise asymptomatic male patient with a parotid gland enlargement. The initial clinical history did not reveal any risk factors related with HIV infection. A fine needle aspiration biopsy of the lesion showed a benign cystic lymphoepithelial lesion of the parotid gland. This once unusual lesion of the salivary gland has been recently associated with infection by the human immunodeficiency virus (HIV) and is presently encountered with increased frequency in the clinical practice. The knowledge of the association between these two entities led, in this case, to the diagnosis of HIV infection in an otherwise asymptomatic patient. Early detection of HIV infection is of vital importance since it has been demonstrated that prompt treatment of these patients with AZT slows down the progression of the disease.
本文介绍了一例年轻的、无其他症状的男性腮腺肿大患者。初始临床病史未发现任何与HIV感染相关的危险因素。对该病变进行细针穿刺活检显示为腮腺良性囊性淋巴上皮病变。这种曾经不常见的唾液腺病变最近已被证实与人类免疫缺陷病毒（HIV）感染有关，并且目前在临床实践中出现的频率有所增加。在该病例中，由于了解到这两种情况之间的关联，从而在一名原本无症状的患者中诊断出HIV感染。早期发现HIV感染至关重要，因为已经证明，用齐多夫定（AZT）及时治疗这些患者可减缓疾病的进展。
