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Published on: April 15, 2014
[Mumps in a 80-year-old patient?]
1Medizinische Poliklinik, Departement Innere Medizin, Universitätsspital Basel. b_pampuch@gmx.ch
Abstract:
Iodide mumps is a bilateral swelling of the parotid glands which appears 1-2 days after the administration of iodated contrast material. It is caused by an iodide induced sialadenitis of parotid, submandibular or sublingual glands. The symptoms disappear spontaneously within one week is a rare complication Peripheral facial palsy. Therapeutic options are steroids or antihistamines, especially when there is an accompanying cutaneous vasculitis. This isn't a dangerous disease, but if diagnosed is made, unneccessary diagnostic investigations can be avoided.
Insights
Iodide mumps, a parotid gland swelling after iodine contrast, is typically benign. Symptoms resolve within a week, avoiding unnecessary diagnostic tests.
Area of Science:
- Radiology
- Endocrinology
- Otolaryngology
Background:
- Iodide mumps is a rare adverse reaction to iodinated contrast media.
- It presents as bilateral parotid gland swelling, a form of iodide-induced sialadenitis.
Observation:
- Swelling typically appears 1-2 days post-administration of iodinated contrast.
- Symptoms usually resolve spontaneously within one week.
Findings:
- Peripheral facial palsy is a rare complication.
- Cutaneous vasculitis may accompany iodide mumps.
Implications:
- Diagnosis can prevent unnecessary investigations, reducing patient anxiety and healthcare costs.
- Treatment may involve steroids or antihistamines, particularly if vasculitis is present.
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