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Juvenile recurrent parotitis: clinical, sialographic and ultrasonographic features
Mohaideen Sitheeque1, Yalini Sivachandran, Vidya Varathan
1Division of Oral Medicine and Dental Radiology, Faculty of Dental Sciences, University Dental Hospital, Peradeniya, Sri Lanka. mams@pdn.ac.lk
Insights
Juvenile recurrent parotitis (JRP) in Sri Lankan children presents with swelling, pain, and fever. Sialography and ultrasonography are valuable diagnostic tools for this rare salivary gland condition.
Area of Science:
- Pediatric medicine
- Salivary gland disorders
- Radiology
Background:
- Juvenile recurrent parotitis (JRP) is a rare pediatric salivary gland disease with unknown causes.
- Understanding JRP's clinical and imaging features is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the clinical presentation patterns.
- To evaluate sialographic and ultrasonographic features of JRP in Sri Lankan children.
Main Methods:
- Retrospective analysis of hospital records for 26 children diagnosed with JRP (2003-2006).
- Data collection included clinical features, recurrence rates, and imaging findings.
Main Results:
- The study included 15 males and 11 females, aged 2.5-16 years, with onset peaks at 6 and 10 years.
- Common symptoms were swelling (100%), pain (80.8%), and fever (50%).
- Sialography showed punctate sialectasis; ultrasonography revealed hypoechoic areas and heterogeneous echoes.
Conclusions:
- This study characterizes JRP in Sri Lankan children.
- Sialography and ultrasonography are confirmed as useful diagnostic modalities for JRP.
Objective:
Juvenile recurrent parotitis (JRP) is a rare salivary gland disease of obscure aetiology that affects children. The aim of this study was to investigate the patterns of clinical presentation, and the sialographic and ultrasonographic features of JRP in Sri Lankan children.
Methods:
The authors analysed the hospital records of 26 subjects who had been diagnosed with JRP between January 2003 and April 2006.
Results:
The subjects consisted of 15 males and 11 females (male:female ratio=1.4:1). The age range of the sample was 2.5-16 years (mean=8.4 years). The age of onset was biphasic, with two major peaks at 6 years (n=6) and 10 years (n=5) (mean=6.73 years). Unilateral involvement was seen in 69.2% of patients. The commonest clinical features were swelling (100%), pain (80.8%) and fever (50.0%). The average frequency of recurrences of JRP in 18 patients was 7.1 times per year. The average duration of an individual episode, also in 18 patients, was 5.44 days. Sialography in 17 patients had revealed punctate sialectasis, whereas ultrasonography in 16 patients had demonstrated multiple hypoechoic areas and heterogeneous echoes
Conclusions:
This study documents the clinical features of JRP in Sri Lankan children. It has established the usefulness of sialography and ultrasonography in the diagnosis of JRP.
