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[Chronic recurrent parotitis in childhood]
Concheiro Guisán A1, Bellver Castañón E, Garrido Romero R
1Servicio de Pediatría. Unidad Integrada Hospital ClínicoHospital Sant Joan de Déu. Universidad de Barcelona.
Insights
Chronic recurrent parotitis in children often presents with fever and painful swelling, typically lasting a week per episode. Diagnosis can be aided by sialography or ultrasonography.
Area of Science:
- Pediatric Otolaryngology
- Salivary Gland Disorders
Background:
- Chronic recurrent parotitis is a rare childhood condition with an unknown etiology.
- Understanding its epidemiology and clinical presentation is crucial for effective management.
Purpose of the Study:
- To analyze epidemiological data, diagnostic methods, treatments, and outcomes for childhood chronic recurrent parotitis.
- To evaluate the utility of sialography and ultrasonography in diagnosing and managing this condition.
Main Methods:
- Retrospective study of 30 pediatric patients with recurrent parotitis over four years.
- Review of patient data including onset, frequency, clinical features, diagnostic tests, and treatment outcomes.
Main Results:
- Mean age at symptom onset was 6 years, with an average of 34 attacks annually.
- Common symptoms included pyrexia and painful swelling; pus was rarely observed.
- Mean episode duration was one week.
Conclusions:
- Epidemiological findings align with existing literature.
- Sialography is an effective diagnostic tool, potentially therapeutic.
- Ultrasonography is a safe, recommended initial diagnostic step.
Introduction:
Chronic recurrent parotitis is an uncommon disease in childhood. Its cause remains unknown.
Methods:
Retrospective study of 30 patients with recurrent parotitis followed up at our hospital during the last 4 years. Guidelines for the management of this disease, as well as the main epidemiological data, diagnostic tests performed, treatments given and outcome, are presented.
Results:
Mean age at onset of symptoms was 6 years. The most common pattern was 34 attacks per year. The most common clinical features were pyrexia and painful swelling. Pus (through Stensen's duct) was absent in most patients. Mean duration of each episode was 1 week.
Conclusion:
The epidemiological data were similar to those found by other authors. In all cases, diagnosis was made by sialography, a technique that may itself resolve symptoms. Ultrasonography is also useful and, because it is innocuous, it could be a first step investigation.