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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La parotiditis cr&#243;nica recurrente es una entidad infrecuente en pediatr&#237;a y con un mecanismo etiopatog&#233;nico a&#250;n no aclarado&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta una revisi&#243;n de 30 casos estudiados en el hospital de Sant Joan de D&#233;u en los &#250;ltimos 4 a&#241;os&#46; Se presenta el protocolo de actuaci&#243;n seguido ante esta enfermedad y los datos epidemiol&#243;gicos m&#225;s destacados&#44; as&#237; como las pruebas diagn&#243;sticas realizadas&#44; los tratamientos seguidos y evoluci&#243;n posterior&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad media de presentaci&#243;n en los pacientes fue de 6 a&#241;os de edad&#46; Lo m&#225;s frecuente fue un n&#250;mero de tres a cuatro episodios por a&#241;o&#46; En la exploraci&#243;n&#44; la supuraci&#243;n a trav&#233;s del conducto de Stenon constituye un hallazgo infrecuente&#44; y son el dolor y la fiebre los datos cl&#237;nicos m&#225;s habituales&#46; El curso medio de los episodios fue de una semana&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los datos epidemiol&#243;gicos coinciden en gran parte con lo revisado en otras series&#46; El diagn&#243;stico se estableci&#243; a partir de la sialograf&#237;a con un buen curso posterior en la evoluci&#243;n&#44; lo cual podr&#237;a relacionarse con un cierto efecto terap&#233;utico de la prueba&#46; La ecograf&#237;a ha demostrado tambi&#233;n su utilidad y podr&#237;a plantearse como primera exploraci&#243;n por su inocuidad&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Chronic recurrent parotitis is an uncommon disease in childhood&#46; Its cause remains unknown&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of 30 patients with recurrent parotitis followed-up at our hospital during the last 4 years&#46; Guidelines for the management of this disease&#44; as well as the main epidemiological data&#44; diagnostic tests performed&#44; treatments given and outcome&#44; are presented&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean age at onset of symptoms was 6 years&#46; The most common pattern was 3-4 attacks per year&#46; The most common clinical features were pyrexia and painful swelling&#46; Pus &#40;through Stensen&#39;s duct&#41; was absent in most patients&#46; Mean duration of each episode was 1 week&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The epidemiological data were similar to those found by other authors&#46; In all cases&#44; diagnosis was made by sialography&#44; a technique that may itself resolve symptoms&#46; Ultrasonography is also useful and&#44; because it is innocuous&#44; it could be a first step investigation&#46;</p>"
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Vol. 53. Núm. 5.
Páginas 418-421 (noviembre 2000)
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Vol. 53. Núm. 5.
Páginas 418-421 (noviembre 2000)
Acceso a texto completo
Parotiditis crónica recurrente juvenil
Chronic recurrent parotitis in childhood
Visitas
17448
A. Concheiro Guisán*, E. Bellver Castañón, R. Garrido Romero, S. García-Tornel Florensa
Servicio de Pediatría. Unidad Integrada Hospital Clínico-Hospital Sant Joan de Déu. Universidad de Barcelona
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Información del artículo
Abstract
Objetivos

La parotiditis crónica recurrente es una entidad infrecuente en pediatría y con un mecanismo etiopatogénico aún no aclarado.

Métodos

Se presenta una revisión de 30 casos estudiados en el hospital de Sant Joan de Déu en los últimos 4 años. Se presenta el protocolo de actuación seguido ante esta enfermedad y los datos epidemiológicos más destacados, así como las pruebas diagnósticas realizadas, los tratamientos seguidos y evolución posterior.

Resultados

La edad media de presentación en los pacientes fue de 6 años de edad. Lo más frecuente fue un número de tres a cuatro episodios por año. En la exploración, la supuración a través del conducto de Stenon constituye un hallazgo infrecuente, y son el dolor y la fiebre los datos clínicos más habituales. El curso medio de los episodios fue de una semana.

Conclusiones

Los datos epidemiológicos coinciden en gran parte con lo revisado en otras series. El diagnóstico se estableció a partir de la sialografía con un buen curso posterior en la evolución, lo cual podría relacionarse con un cierto efecto terapéutico de la prueba. La ecografía ha demostrado también su utilidad y podría plantearse como primera exploración por su inocuidad.

Key words:
Recurrent parotitis
Childhood
Sialography
Ultrasonography
Resumen
Introduction

Chronic recurrent parotitis is an uncommon disease in childhood. Its cause remains unknown.

Methods

Retrospective study of 30 patients with recurrent parotitis followed-up at our hospital during the last 4 years. Guidelines for the management of this disease, as well as the main epidemiological data, diagnostic tests performed, treatments given and outcome, are presented.

Results

Mean age at onset of symptoms was 6 years. The most common pattern was 3-4 attacks per year. The most common clinical features were pyrexia and painful swelling. Pus (through Stensen's duct) was absent in most patients. Mean duration of each episode was 1 week.

Conclusion

The epidemiological data were similar to those found by other authors. In all cases, diagnosis was made by sialography, a technique that may itself resolve symptoms. Ultrasonography is also useful and, because it is innocuous, it could be a first step investigation.

Palabras clave:
Parotiditis recurrente
Niños
Sialografía
Ecografía
El Texto completo está disponible en PDF
Bibliografía
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Copyright © 2000. Asociación Española de Pediatría
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