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. 2015 Oct-Dec;19(4):356-9.

Evaluation and management of juvenile recurrent parotitis in children from northern Greece

E Papadopoulou-Alataki  1 , A Chatziavramidis  2 , O Vampertzi  1 , S Alataki  1 , I Konstantinidis  2
Affiliations

Evaluation and management of juvenile recurrent parotitis in children from northern Greece

E Papadopoulou-Alataki et al. Hippokratia. 2015 Oct-Dec.

Abstract

Background: Juvenile Recurrent Parotitis (JRP) is a recurrent parotid inflammation of childhood. The aim of our study was to investigate the clinical, laboratory and imaging profile of children with JRP as well as to estimate the impact of siadendoscopy as a therapeutic tool in the clinical outcome of JRP.

Methods: Twenty-three children with JRP aged 3.5-16 years, were investigated. Twelve of them underwent sialendoscopy: seven aged <8 years under general and five aged >8 years under local anesthesia.

Results: The age at onset ranged from 2-15 years while the number of episodes from 2-8 per year. The autoantibody profile was negative in all patients, suggesting no evidence for autoimmune diseases. Antibody deficiency was found in two children. The imaging studies reveal an overall parotid swelling and intraparotid lymph nodes while microabscesses were present in 31% of the patients. Twelve patients who underwent sialendoscopy had a significant improvement in their clinical outcome; the mean episodes of JRP before sialendoscopy was 3.9/year and reduced to 0.4 at the post-intervention year.

Conclusion: Sialendoscopy represents an alternative and promising perspective in the management of JRP. Hippokratia 2015; 19 (4): 356-359.

Keywords: Children; parotitis; recurrence; sialendoscopy; treatment.

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Figures

Figure 1
Figure 1. A) Ultrasonography image showing the parotid gland with low, heterogeneous echogenicity and multiple hypoechogenic areas. B) Sialoendoscopic view of the parotid duct showing the white appearance of the ductal layer with debris.
Figure 2
Figure 2. Significant reduction of the mean episodes of juvenile recurrent parotitis in the 12 children after sialendoscopy.
See this image and copyright information in PMC

References

    1. Nahlieli O, Shacham R, Shlesinger M, Eliav E. Juvenile recurrent parotitis: a new method of diagnosis and treatment. Pediatrics. 2004;114:9–12. - PubMed
    1. Capaccio P, Sigismund PE, Luca N, Marchisio P, Pignataro L. Modern management of juvenile recurrent parotitis. J Laryngol Otol. 2012;126:1254–1260. - PubMed
    1. Quenin S, Plouin-Gaudon I, Marchal F, Froehlich P, Disant F, Faure F. Juvenile recurrent parotitis: sialendoscopic approach. Arch Otolaryngol Head Neck Surg. 2008;134:715–719. - PubMed
    1. Fazekas T, Wiesbauer P, Schroth B, Pötschger U, Gadner H, Heitger A. Selective IgA deficiency in children with recurrent parotitis of childhood. Pediatr Infect Dis J. 2005;24:461–462. - PubMed
    1. Cimaz R, Casadei A, Rose C, Bartunkova J, Sediva A, Falcini F, et al. Primary Sjögren syndrome in paediatric age: a multicentre survey. Eur J Pediatr. 2003;162:661–665. - PubMed

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