%0 Journal Article %T Acute lymphoblasic leukemia with initial manifestation of bilateral parotid gland enlargement, Case report %A Naghibzade Naghibzadeh %A Mohammad Reza Majidi %A Roghayye Arabkhani %J Iranian Journal of Otorhinolaryngology %D 2009 %I Mashhad University of Medical Sciences %X Introduction: Bilateral parotid gland enlargement is commonly caused by viral, metabolic and autoimmune mechanisms. We present a patient with leukemia whose only clinical sign was bilateral enlargement of parotid gland. Case Report: The patient was a 34-year-old male who was admitted with bilateral painless progressive parotid gland enlargement from 3 months ago. Laboratory investigations revealed leukocytosis, anemia, partial thrombocytopenia and increased sedimentation rate. Definite diagnosis was confirmed by bone marrow biopsy indicating acute lymphoblastic leukemia. Conclusion: Although bilateral parotid gland enlargement is a common manifestation of viral and autoimmune diseases, blood malignancies should also be considered for this condition. %K Parotid enlargement %K Acute lymphoblastic leukemia %K Lymphoma %U http://ijorl.mums.ac.ir/?_action=showPDF&article=806&_ob=b79c160849f4307cf0632b7e9586c836&fileName=full_text.pdf