Pediatria pre prax 3/2020

Juvenile recurrent parotitis – can we diagnose and treat it correctly? – case report

Juvenile recurrent parotitis (JRP), due to its rare occurrence, presents a diagnostic challenge. Etiologically, various anatomical anomalies may be causative, but it may also be the first manifestation of immunodeficiency or systemic rheumatic disease. In most cases, however, the etiology remains unexplained. The treatment is guided by the identified cause. During the acute phase, symptomatic analgesic and anti-inflammatory treatment is required. In the case of bacterial superinfection antibiotic treatment is needed, as well. Specific treatments are indicated for children with immune deficiency or systemic rheumatic disease. The long-term benefits of individual therapeutic modalities of JRP, including a sialendoscopy, are subject to debate. However, the available evidence is insufficient and difficult to interpret, besides other things, due to the high level of a spontaneous resolution of difficulties to puberty. In this case report, we present a 9-year-old girl with the 5th attack of recurrent parotitis, her primary management and the diagnostic and the therapeutic proceedings.

Keywords: juvenile recurrent parotitis, Sjögren syndrome, immunodeficiency, sialendoscopy