[A complex approach to the differential diagnosis of chronic parenchymal parotitis in children].

Autor: Klinovskaya AS; Moscow State University of Medicine and Dentistry named after A.I. Evdakimov, Moscow, Russia., Smislenova MV; Moscow State University of Medicine and Dentistry named after A.I. Evdakimov, Moscow, Russia., Gurgenadze AP; Moscow State University of Medicine and Dentistry named after A.I. Evdakimov, Moscow, Russia., Abrahamyan KD; Moscow State University of Medicine and Dentistry named after A.I. Evdakimov, Moscow, Russia., Bazikyan OA; Moscow State University of Medicine and Dentistry named after A.I. Evdakimov, Moscow, Russia.
Jazyk: ruština
Zdroj: Stomatologiia [Stomatologiia (Mosk)] 2021; Vol. 100 (3), pp. 82-89.
DOI: 10.17116/stomat202110003182
Abstrakt: Background: Chronic parenchymal parotitis is the most common salivary gland disease in children which occurs in about 85% cases. Diagnosis errors in chronic parenchymal parotitis are frequent and important but represent an underemphasized and understudied area of patient safety.
Objective: The objective of this study was to elaborate the most effective and acceptable strategies for the diagnosis of chronic parenchymal parotitis in children.
Material and Methods: We studied the histories of 211 patients with a primary diagnosis of chronic parenchymal parotitis. All patients underwent ultrasound diagnostic, as well as medical and genetic counseling and examination of 1st degree relatives and probands.
Results: After additional examinations, 100 children were given other diagnoses. Having analyzed the results of medical-genetic and echographic examinations of 111 patients with chronic parenchymal parotitis and their family members, we have developed a pattern of chronic parenchymal parotitis inheritance. All patients were divided into 3 groups according to the type of inheritance: monogenic inheritance, multifactorial inheritance, and sporadic cases.
Conclusion: A complex approach to the differential diagnosis of chronic parenchymal parotitis is what is needed to reduce the frequency of diagnostic errors.
Databáze: MEDLINE