Cysts of the parotid glands were initially described in patients infected with human immunodeficiency virus (HIV) in 1988, as multiple cystic lesions associated with cervical lymphadenopathy and demonstrated by computed tomography and magnetic resonance imaging.1 Parotid enlargement has been reported in approximately 1% to 10% of the population infected with HIV-1, mainly in adults.2- 5 In the pediatric HIV population, its prevalence is 1% to 10%.2 In a published series of Mexican children infected with HIV, a prevalence of 2.1% was demonstrated.3 However, information on parotid cysts in children with HIV/AIDS is scarce, as there is just 1 case report from 1991.5 Furthermore, in recent years a reduction in the incidence of this abnormality has been observed with the introduction of highly active antiretroviral therapy (HAART) with protease inhibitors. Therefore, no studies have evaluated the course of children infected with HIV who have parotid cysts. We present 4 cases observed in HIV-positive children treated at the Immunodeficiency Clinic of the Hospital Infantil de México Federico Gómez (Mexico City, México) from 1993 to 2003.4
I maging studies of the 4 patients with parotid cysts (A and B, patient 1; C and D, patient 2; E and F, patient 3; and G and H, patient 4). Initial images are on the left and final images on the right. The intervals between basal and final images were 78, 31, 28, and 43 months, respectively.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Otolaryngology–Head & Neck Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 5
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Users' Guides to the Medical Literature
For example, a trial of intravenous immunoglobulin in advanced human immunodeficiency infection...
The Rational Clinical Examination
Evidence Summary and Review 3
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.