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Case Reports
. 2019 May 1;11(5):e496-e499.
doi: 10.4317/jced.55621. eCollection 2019 May.

Dystrophic calcification vs sialolithiasis in a pediactric parotid gland: A case report

Valdir-Meirelles Júnior  1 , Rafael Netto  1 , Maria-Elisa-Rangel Janini  1 , Alexandro B Azevedo  1 , Vitor-Marcello de Andrade  1
Affiliations
Case Reports

Dystrophic calcification vs sialolithiasis in a pediactric parotid gland: A case report

Valdir-Meirelles Júnior et al. J Clin Exp Dent. .

Abstract

Calcinosis is a connective tissue disorder characterized by ectopic calcification in soft tissues. It is subdivided into: dystrophic, metastatic, idiopathic and iatrogenic calcification. The formation of mineralized material in the salivary glands is a common finding in the daily practice of dentists and other specialists. In most cases, this calcification is a sialolith. However, a type of ectopic calcification termed dystrophic calcification is characterized by inappropriate biomineralization in soft tissues and may be associated with trauma, chronic and localized infection or inflammatory diseases. We report a case of a 9-year-old female patient who complained of small nodules in the left parotid region, which begun two years before. Her main complaint was of recurring periods of worsened symptoms characterized by the exacerbation and symptomatic remission of the gland volume with occasional otolaryngologic infections. This study aims to discuss ectopic dystrophic calcification in the parotid gland associated with recurrent infection in children. Key words:Dystrophic calcification, salivary gland, pediatric pathology.

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Conflict of interest statement

Conflict of interest statement:The authors have no conflict of interest or financial support to report.

Figures

Figure 1
Figure 1
Panoramic Radiography. Notice the multiple radiopaque masses throughout the soft tissue in the parotid region.
Figure 2
Figure 2
CT Scan – coronal view - dense mass in the left parotid, showing heterogeneous aspect and calcifications in its center.
Figure 3
Figure 3
Ultrasound examination showing heterogeneous echotexture of the left parotid but without acute inflammatory foci.
See this image and copyright information in PMC

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