Holliday R A, Cohen W A, Schinella R A, Rothstein S G, Persky M S, Jacobs J M, Som P M
Department of Radiology, New York University Medical Center, NY 10016.
Radiology. 1988 Aug;168(2):439-41. doi: 10.1148/radiology.168.2.3393663.
The contrast material-enhanced computed tomographic (CT) scans of 18 patients at risk for acquired immunodeficiency syndrome (AIDS) who had painless facial swelling were reviewed. All scans demonstrated parotid cysts and diffuse homogeneous cervical adenopathy. The cysts were bilateral in all but three cases. Eleven of 13 patients tested had antibodies to the human immunodeficiency virus (HIV), and two of the five untested patients later developed AIDS. The authors believe that the CT findings of multiple parotid cysts and cervical adenopathy suggest that the patient may be infected with the HIV virus, and the radiologist should alert the referring physician so that appropriate precautions and treatment may be initiated.
对18例有获得性免疫缺陷综合征（AIDS）风险且有无痛性面部肿胀的患者进行了对比剂增强计算机断层扫描（CT）检查并回顾分析。所有扫描均显示腮腺囊肿和弥漫性均匀性颈部淋巴结病。除3例外，囊肿均为双侧性。13例接受检测的患者中有11例检测出人类免疫缺陷病毒（HIV）抗体，5例未检测的患者中有2例后来发展为AIDS。作者认为，腮腺多发囊肿和颈部淋巴结病的CT表现提示患者可能感染了HIV病毒，放射科医生应提醒转诊医生，以便采取适当的预防措施和进行治疗。
