Immune disorders associated with juvenile recurrent chronic parotitis

Hidalgo-Santos, Antonio David; Gastón-Téllez, Rubén; Ferrer-Lorente, Begoña; Pina-Pérez, Raquel; Oltra-Benavent, Manuel

doi:10.1016/j.anpede.2020.08.012

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Historically, JRP has been described in association with Sjögren's syndrome, hypogammaglobulinemia, IgG3 deficiency, IgA deficiency and as a frequent manifestation in patients with HIV infection. At present, JRP can be considered a sentinel sign of other diseases of immunologic/autoimmune etiology whose early diagnosis, follow-up and treatment can improve prognosis [ 5 , 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy approach in treating juvenile recurrent parotitis: A systematic review

Soriano-Martín,

García-Consuegra,

Junquera

et al. 2023

Journal of Otolaryngology - Head & Neck Surgery

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Background Juvenile recurrent parotitis (JRP) is characterized by recurrent episodes of painful parotid swelling in children. The purpose of this systematic review was to determine the diagnostic and therapeutic effectiveness of sialendoscopy in children affected by JRP. Methods A systematic literature search was performed in PubMed, EMBASE, Scopus and the Cochrane Library until April 2022, without language restrictions or specified start date. Quality assessment was performed using the Newcastle–Ottawa Scale (NOS). Results Our review included 524 patients and 646 sialendoscopies. The sample sizes of the different studies ranged from 3 to 77 subjects. Most authors performed sialendoscopy under general anesthesia. The mean percentage of recurrences observed was 25.1% (95% confidence intervals) (CI 23.6–26.6). There was a statistically significant relationship between the number of attacks/year and recurrences (p < 0.05). The percentage of recurrences according to the type of irrigation/flushing used ranged from 22.2% to 25.2%, with no significant differences between the use of corticosteroids alone (25.2% of recurrences), corticosteroids plus antibiotics (25% of recurrences) or saline alone (22.2% of recurrences). Sialoendoscopy has proved in all cases to be a valid method for the diagnosis of JRP, but it does not allow a reliable differential diagnosis with other autoimmune parotitis such as Sjögren's syndrome. Conclusion According to our results, parotid sialoendoscopy was 74.9% effective as a primary treatment in the prevention of recurrent symptoms in JRP. The type of ductal irrigation used did not significantly influence the prognostic outcome.

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Section: Discussionmentioning

confidence: 99%

Sialendoscopy approach in treating juvenile recurrent parotitis: A systematic review

Soriano-Martín,

García-Consuegra,

Junquera

et al. 2023

Journal of Otolaryngology - Head & Neck Surgery

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“…Juvenile recurrent parotitis (JRP) is defined as a recurrent parotid inflammation of a non-obstructive and non-suppurative nature in a child aged 1-16 years. It presents as unilateral or bilateral parotid gland inflammation with two or more episodes before puberty [1][2][3]. Excluding viral infections, salivary gland diseases are rare in children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

Juvenile Recurrent Parotitis: Video-Documented Sialendoscopy

Soriano-Martín,

García-Consuegra,

Junquera

et al. 2023

JCM

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Juvenile recurrent parotitis (JRP) is characterised by recurrent episodes of painful parotid swelling in children. JRP is the second most common cause of parotitis in childhood, behind only paramyxovirus. The prevention of recurrent attacks represents the most dramatic and serious aspect of this pathology. Since 2004, different authors have evaluated sialendoscopy for the diagnostic and therapeutic management of JRP. In this paper, we share our clinical experience of the use of sialendoscopy for the treatment of JRP. We document with video sialendoscopy the glandular pathology in four children with a mean age of 11.5 years, who had suffered from 3–6 episodes/year of inflammation prior to treatment. The use of sialendoscopy in our patients was effective in preventing recurrences. For the first time, the videosialendoscopy of a series of children diagnosed with JRP is documented in the literature.

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Immune disorders associated with juvenile recurrent chronic parotitis

Cited by 2 publications

References 17 publications

Sialendoscopy approach in treating juvenile recurrent parotitis: A systematic review

Sialendoscopy approach in treating juvenile recurrent parotitis: A systematic review

Juvenile Recurrent Parotitis: Video-Documented Sialendoscopy

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