Levin P A, Falko J M, Dixon K, Gallup E M, Saunders W
Ann Intern Med. 1980 Dec;93(6):827-9. doi: 10.7326/0003-4819-93-6-827.
Bulimia is an episodic compulsive urge to overeat often followed by recurrent attempts to lose weight by self-induced vomiting. Seven young women with this eating disorder and associated benign bilateral painless parotid enlargement are described. The glandular swelling was generally intermittent, with parotid enlargement usually developing 2 to 6 days after a binge overeating episode had stopped. Several had hypokalemic alkalosis and a moderate elevation in serum amylase levels. None had clinical evidence of pancreatitis, and a parotid gland biopsy in one patient was normal. The clinician should be alerted to the association of benign parotid enlargement with this syndrome.
贪食症是一种间歇性的强迫性暴饮暴食冲动，常伴有反复通过自我催吐来减肥的行为。本文描述了7名患有这种饮食失调症并伴有双侧腮腺良性无痛性肿大的年轻女性。腺体肿胀通常是间歇性的，腮腺肿大通常在暴饮暴食发作停止后2至6天出现。其中几人有低钾性碱中毒，血清淀粉酶水平中度升高。没有人有胰腺炎的临床证据，一名患者的腮腺活检结果正常。临床医生应警惕腮腺良性肿大与该综合征的关联。
