HISTORY AND CLINICAL FINDINGS: A 29-year-old @entity1 complained of recurrent swelling of the eyelids and cheeks, @entity221 , @entity10 , night sweat and @entity353 (8 kg during 8 weeks). Both parotid glands showed swelling which were solid, plain and non-painful to pressure. Palpation did not reveal enlarged lymph nodes. There were no other pathological findings except for anisocoria and disturbed motoric function of the right eye's pupil. INVESTIGATIONS: Laboratory findings, chest X-ray, abdominal sonography and ilium crest biopsy showed no signs of @entity5 . MRT showed enlarged parotid glands and hypointensity of a few small (up to 2 cm) areas. Because of these findings @entity31489 with @entity2895 and the lacrimal glands was suspected and verified by parotid biopsy. TREATMENT AND COURSE: Under corticosteroid therapy started with 80 mg/d symptoms rapidly ceased. Therapy was continued for one year. 8 months after therapy had been stopped the @entity1 had no complaints and investigations showed no signs of recurrence nor pulmonary or any other organ manifestation. CONCLUSION: If swelling of the parotid glands with night sweat, @entity221 and @entity353 occur, parotid biopsy should be performed early to exclude @entity5 . With parotid gland biopsy also diagnosis of other diseases which have similar signs, such as @entity751 and parotid gland @entity370 , can be established early.

[Parotid swelling with night sweat, @entity221 and XXXX . A rare differential diagnosis].

@entity1 :: ('9606', 'Species') :: ['patient'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['lymphoma or other tumour', 'malignancy'] @entity31489 :: ('MESH:D014608', 'Disease') :: ['Heerfordt syndrome'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['involvement of the third cranial nerve'] @entity370 :: ('MESH:D012507', 'Disease') :: ['sarcoidosis'] @entity751 :: ('MESH:D013577', 'Disease') :: ['Sj  gren syndrome'] @entity10 :: ('MESH:D006261', 'Disease') :: ['diffuse headaches'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity353 :: (MESH:D015431,Disease) :: ['weight loss symptoms']
