Recurrent parotitis in children- case series and literature review
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://revistas.rcaap.pt/nascercrescer/article/view/20543 |
Resumo: | Introduction: Recurrent parotitis is defined as the occurrence of two or more episodes of the parotid gland. Several etiologies should be addressed in the approach to these patients. The aim of this study was to investigate the clinical, laboratory, and imaging profile of children with recurrent parotitis. Material and Methods: Retrospective review of the medical records of patients referred to a Pediatric Outpatient Clinic between January 2013 and June 2018. Results: The medical records of 24 patients with recurrent parotitis (66.7% male) and a mean age of seven years and five months were reviewed. The median age of onset of episodes was five years and three months. Unilateral and non-febrile episodes prevailed. Non-steroidal anti-inflammatory drugs were universally used to treat symptoms. Non-acute parotid and neck ultrasound predominantly showed the presence of a heterogeneous gland (57.1%). Sialography performed in five patients suggested chronic parotitis in two and Sjögren syndrome/ sarcoidosis in one. No significant immunologic defects were found beside a mild C3 reduction in one patient and C4 reduction in another patient, apparently without clinical relevance. A single patient tested positive for antinuclear antibodies. Immunoglobulin A deficit was found in one case. The most common final diagnosis was juvenile recurrent parotitis (37.5%). Conclusions: Most cases of recurrent parotitis in pediatric age have benign etiology. A more judicious request of complementary exams in the acute and non-acute phases could be time- and cost-effective. |
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Recurrent parotitis in children- case series and literature reviewParotidite recorrente em crianças − casuística e revisão da literaturaOriginal ArticlesIntroduction: Recurrent parotitis is defined as the occurrence of two or more episodes of the parotid gland. Several etiologies should be addressed in the approach to these patients. The aim of this study was to investigate the clinical, laboratory, and imaging profile of children with recurrent parotitis. Material and Methods: Retrospective review of the medical records of patients referred to a Pediatric Outpatient Clinic between January 2013 and June 2018. Results: The medical records of 24 patients with recurrent parotitis (66.7% male) and a mean age of seven years and five months were reviewed. The median age of onset of episodes was five years and three months. Unilateral and non-febrile episodes prevailed. Non-steroidal anti-inflammatory drugs were universally used to treat symptoms. Non-acute parotid and neck ultrasound predominantly showed the presence of a heterogeneous gland (57.1%). Sialography performed in five patients suggested chronic parotitis in two and Sjögren syndrome/ sarcoidosis in one. No significant immunologic defects were found beside a mild C3 reduction in one patient and C4 reduction in another patient, apparently without clinical relevance. A single patient tested positive for antinuclear antibodies. Immunoglobulin A deficit was found in one case. The most common final diagnosis was juvenile recurrent parotitis (37.5%). Conclusions: Most cases of recurrent parotitis in pediatric age have benign etiology. A more judicious request of complementary exams in the acute and non-acute phases could be time- and cost-effective.Introdução: A parotidite recorrente é definida como a ocorrência de dois ou mais episódios de inflamação da glândula parótida. Várias etiologias devem ser consideradas na abordagem a estes doentes. O objetivo deste estudo foi investigar o perfil clínico, laboratorial e imagiológico de crianças com parotidite recorrente. Material e Métodos: Análise retrospetiva dos processos clínicos de doentes referenciados a uma consulta de Pediatria entre janeiro de 2013 e junho de 2018. Resultados: Foram revistos os processos clínicos de 24 doentes com parotidite recorrente (66,7% do sexo masculino), com uma idade média de sete anos e cinco meses. A idade mediana de início dos episódios foi de cinco anos e três meses e predominaram os episódios unilaterais e não-febris. Foram universalmente utilizados anti-inflamatórios não-esteroides no tratamento sintomático. A heterogeneidade da glândula foi o padrão predominante na ecografia parotídea da fase não-aguda (57,1%). Foi realizada sialografia em cinco doentes, tendo sido sugestiva de parotidite crónica em dois e de síndrome de Sjögren syndrome/sarcoidose em um. Não foram identificados defeitos imunológicos significativos, exceto uma discreta diminuição do valor de C3 em um doente e de C4 em outro, sem relevância clínica. Foram identificados anticorpos antinucleares positivos num doente e défice de imunoglobulina A noutro. O diagnóstico final mais prevalente foi parotidite recorrente idiopática. Conclusão: A maioria dos casos de parotidite recorrente em idade pediátrica é de etiologia benigna. Uma requisição mais criteriosa de exames complementares na fase aguda e não-aguda pode ser mais eficaz a nível de tempo e custos.Centro Hospitalar Universitário do Porto2021-12-27T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://revistas.rcaap.pt/nascercrescer/article/view/20543eng2183-9417Mendes, Ana RaquelMoreira, LianeDias, ÂngelaLopes, AndreiaLobo, Ana LuísaSimão, Teresa Sãoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T14:55:40Zoai:ojs.revistas.rcaap.pt:article/20543Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:56:32.435755Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Recurrent parotitis in children- case series and literature review Parotidite recorrente em crianças − casuística e revisão da literatura |
title |
Recurrent parotitis in children- case series and literature review |
spellingShingle |
Recurrent parotitis in children- case series and literature review Mendes, Ana Raquel Original Articles |
title_short |
Recurrent parotitis in children- case series and literature review |
title_full |
Recurrent parotitis in children- case series and literature review |
title_fullStr |
Recurrent parotitis in children- case series and literature review |
title_full_unstemmed |
Recurrent parotitis in children- case series and literature review |
title_sort |
Recurrent parotitis in children- case series and literature review |
author |
Mendes, Ana Raquel |
author_facet |
Mendes, Ana Raquel Moreira, Liane Dias, Ângela Lopes, Andreia Lobo, Ana Luísa Simão, Teresa São |
author_role |
author |
author2 |
Moreira, Liane Dias, Ângela Lopes, Andreia Lobo, Ana Luísa Simão, Teresa São |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mendes, Ana Raquel Moreira, Liane Dias, Ângela Lopes, Andreia Lobo, Ana Luísa Simão, Teresa São |
dc.subject.por.fl_str_mv |
Original Articles |
topic |
Original Articles |
description |
Introduction: Recurrent parotitis is defined as the occurrence of two or more episodes of the parotid gland. Several etiologies should be addressed in the approach to these patients. The aim of this study was to investigate the clinical, laboratory, and imaging profile of children with recurrent parotitis. Material and Methods: Retrospective review of the medical records of patients referred to a Pediatric Outpatient Clinic between January 2013 and June 2018. Results: The medical records of 24 patients with recurrent parotitis (66.7% male) and a mean age of seven years and five months were reviewed. The median age of onset of episodes was five years and three months. Unilateral and non-febrile episodes prevailed. Non-steroidal anti-inflammatory drugs were universally used to treat symptoms. Non-acute parotid and neck ultrasound predominantly showed the presence of a heterogeneous gland (57.1%). Sialography performed in five patients suggested chronic parotitis in two and Sjögren syndrome/ sarcoidosis in one. No significant immunologic defects were found beside a mild C3 reduction in one patient and C4 reduction in another patient, apparently without clinical relevance. A single patient tested positive for antinuclear antibodies. Immunoglobulin A deficit was found in one case. The most common final diagnosis was juvenile recurrent parotitis (37.5%). Conclusions: Most cases of recurrent parotitis in pediatric age have benign etiology. A more judicious request of complementary exams in the acute and non-acute phases could be time- and cost-effective. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-27T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistas.rcaap.pt/nascercrescer/article/view/20543 |
url |
https://revistas.rcaap.pt/nascercrescer/article/view/20543 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2183-9417 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar Universitário do Porto |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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