Benign lymphoepithelial lesions

Discussion:

The patient presented acutely to the emergency unit after hours. Initial non-contrast MRI brain confirmed the absence of an intracranial event. The patient refused admission for further biochemical and neurological workup including lumbar puncture and gadolinium administration.

Bilateral parotid enlargement with benign lymphoepithelial lesions and nasopharyngeal lymphofollicular hyperplasia is strongly suggestive of immune suppression and positive HIV status.

The differential diagnosis of Sjogren's syndrome was considered clinically unlikely in this patient

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