Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura

Autor: Francisca Donoso-Hofer, Rodrigo Díaz, Gustavo Osorio Herrera, Rodrigo Ortiz Cárdenas, Mirtha Landaeta Mendoza
Rok vydání: 2017
Předmět:
Zdroj: Revista chilena de pediatría. 88:677-685
ISSN: 0370-4106
DOI: 10.4067/s0370-41062017000500017
Popis: Introduction: Recurrent childhood chronic parotiditis (RCCP) is a relevant pathology. Its diagnosis is mainly clinical, but it relies on imaging tests. The current treatment approach is diverse. The aim of this article is to update the clinical features, complementary tests, etiopathogenic models and therapeutic protocols of this disease. Material and Method: A bibliographic search was performed in PUBMED using the free terms and MESH terms: RCCP, recurrent parotiditis, chronic parotiditis and parotiditis. The filters used were human patients, up to 18 years old, with abstract. In SCIELO the free terms included were Parotiditis and chronic. Articles published in English, Spanish or Portuguese until 2017 were included. Results: In PUBMED 119 articles were found and 44 were included. The exclusion of the remaining articles was due to language, access to the article or absence of relationship between the article and the proposed revision. In SCIELO 6 articles were found 6 of which 5 were selected. The multidisciplinary asses of patients with RCCP is considered the appropriate treatment. Its diagnosis is clinical but it relies on imaging tests, such as echography and sialography. Conclusions: The current treatment approach is conservative, and the best available evidence supports the use of sialendoscopy with irrigation and administration of antibiotics and / or corticosteroids via the parotid duct. However, there would be proper results with intraglandular lavage with physiological solutions without the need for a sialendoscope.
Databáze: OpenAIRE