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Asymptomatic Parotid Enlargement in Pima Indians: Relationship to Age, Obesity, and Diabetes Mellitus

STEPHEN B. LEVINE, M.D.; RICHARD E. SAMPLINER, M.D.; PETER H. BENNETT, M.B., M.R.C.P.; NORMAN B. RUSHFORTH, Ph.D.; THOMAS A. BURCH, M.D.; and MAX MILLER, M.D.
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▸Requests for reprints should be addressed to Thomas A. Burch, M.D., National Institute of Arthritis & Metabolic Diseases, 4747 N. 16th St., A-147, Phoenix, Ariz. 85016


Phoenix, Arizona


Ann Intern Med. 1970;73(4):571-573. doi:10.7326/0003-4819-73-4-571
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The association of diabetes and asymptomatic parotid enlargement was examined in the Pima, an American Indian tribe with a high prevalence of diabetes mellitus. The parotid gland size of 290 subjects was graded by two independent observers without knowledge of the diabetes status. Palpable parotid glands were found in 61% of subjects. Parotid gland size was associated with age, sex, obesity, and diabetes. Multiple correlation analyses demonstrated that in both sexes age and obesity were more important than plasma glucose in predicting parotid size. The relationship of asymptomatic parotid enlargement and diabetes mellitus in the Pima Indians was mainly the result of the common association of both factors to age and obesity.

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