Parotid Enlargement Resulting from Excessive Ingestion of Starch

Abstract

BILATERAL, noninflammatory enlargement of the parotid glands has been described in association with a variety of nutritional disturbances. For many years it has frequently been reported among the acutely or chronically malnourished peoples of Europe, Africa and Asia. Although the condition has not been as thoroughly investigated in the United States, Rothbell and Duggan,^{1 , 2} in reviewing the world literature, also reported its presence in 50 of their own patients, most of whom were known to have either liver disease, diabetes mellitus, obesity or combinations of these states. They considered its significance much the same as that of fatty infiltration of . . .