Sialosis in bulimics and surgical management

Sialosis is a rare condition that can be associated with a number of underlying pathologies. It is a non-specific term used to describe an uncommon, benign, non-neoplastic enlargement of a salivary gland, usually the parotid gland; occasionally, it affects the submandibular glands and rarely, the minor salivary glands. We report a case with significant and persistent bilateral parotid and submandibular gland swelling referred to us from general dental practitioner. Thorough history and investigations concluded the diagnosis of Bulimia associated sialosis. The general dental practitioner is in a unique position to identify such patients with bulimic behavior and refer appropriately. Various options were discussed, and patient opted for bilateral superficial parotidectomy to improve aesthetics. The general dental practitioner may be the first health professional to suspect bulimia.