Envíe este artículo por correo electrónico Juvenile recurrent parotitis: a diagnosis to be aware of…
Resumen
Background: Juvenile recurrent parotitis (JRP) is the second most frequent cause of repeated inflammatory episodes of the parotid gland (after mumps) that occurs in childhood. It is associated with non-obstructive and non-suppurative idiopathic dilatation of glandular ducts and affects mainly males. Nowadays, treatment of JRP attacks is mainly symptomatic and conservative. The main objective of the current article is to present two cases of JRP and to overview the existing literature about diagnostic and therapeutic utility of sialendoscopy in children suffering of this disease.
Case summary: The authors present two clinical cases of first-onset JRP in a four and six-year-old female. One of them showed bilateral involvement and imaging confirmed the presence of multiple parotid microcysts without signs of lithiasic formations. In both cases, all acute crises were successfully treated symptomatically. In addition to recurrent episodes of parotitis, there were no other positive criteria for Sjogren’s syndrome, systemic lupus erythematosus or rheumatoid arthritis in any of our cases and none of them were positive for autoantibodies.
Discussion: JRP is a self-limited condition that should prompt investigation for underlying diseases, such as Sjogren’s syndrome and other autoimmune pediatric disorders (mainly if there is bilateral involvement). Here we present two cases of JRP that lasted until pre-adolescence.Palabras clave
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