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Bilateral Parotid Enlargement and Starch Ingestion

Ann Intern Med. 1966;64(4):842-846. doi:10.7326/0003-4819-64-4-842
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The finding of bilateral, asymptomatic parotid gland enlargement associated with prolonged starch ingestion has been reported once in the literature. In that case, Merkatz (1) described a 36-year-old Negro female chronic starch eater whose dietary history showed minimal protein intake. The suggested primary relationship between starch ingestion and parotid enlargement might be subject to criticism since parotid swelling has been attributed alone to various states of malnutrition. Recently a patient with chronic starch ingestion and bilateral parotid enlargement came to our attention. This patient had adequate nutritional intake. This case is reported to strengthen the proposed etiologic relationship between starch


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