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Infant with a parotid swelling: beware of the rare
Anam Siddiqui1, Chandrika Azad1, Dharmender Kumar Singh2
1Department of Pediatrics, Government Medical College and Hospital, Chandigarh, India.
Insights
Infantile parotid haemangioma, a rare condition, presents as a rapidly growing neck swelling. Oral propranolol effectively treated both parotid and cutaneous haemangiomas in an infant, showing significant reduction without adverse effects.
Area of Science:
- Pediatric Oncology
- Dermatology
- Vascular Anomalies
Background:
- Salivary gland tumors are uncommon in pediatric patients.
- Early diagnosis and management are crucial for favorable outcomes.
Observation:
- An infant presented with a rapidly enlarging parotid swelling and a preauricular cutaneous hemangioma.
- Initial presentation mimicked more common conditions such as parotitis.
Findings:
- Imaging studies suggested a parotid hemangioma, a rare diagnosis in this age group.
- Treatment with oral propranolol resulted in a dramatic reduction of both parotid and cutaneous swellings within three months.
- No adverse side effects were observed during the treatment period.
Implications:
- This case highlights the importance of considering rare diagnoses like parotid hemangioma in infants with neck swellings.
- Oral propranolol demonstrates a safe and effective therapeutic option for infantile parotid hemangioma.
- Early intervention can lead to significant cosmetic and functional improvements.
Abstract:
Salivary gland tumours are rare in children. We present the case of an infant who presented with a progressively increasing swelling of short duration in the parotid region accompanied by a small preauricular cutaneous haemangioma. Failing to comply with the commoner diagnoses like parotitis, help of imaging was taken that pointed towards the rarer diagnosis of parotid haemangioma. The child was started on oral propranolol and dramatic reduction in parotid and cutaneous swelling was seen after three months of therapy without any side effects.
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