Parotiditis recurrent juvenil. Caldria pensar-hi més?

Introduction. Juvenile recurrent parotitis (JRP) is a rare condition but is the second most common childhood disease of the salivary glands. JRP usually presents with recurrent swelling and pain of the parotid glands, sometimes with fever, with no apparent cause. There is no conclusive aetiology; it is probably multifactorial, but multiple studies suggest an autoimmune phenomenon. Management has focused on the symptomatic and conservative treatment of acute episodes but sometimes surgical procedures may be needed. Case report. A five-year-old boy presented with a two-year history of recurrent episodes of pain and swelling in the right mandibular angle that usually resolved within 24 hours. Ultrasound showed multiple hypoechoic lesions in both parotid glands, suggestive of juvenile recurrent parotitis. Comments. A management algorithm of recurrent parotid swelling should include the study of parotid lithiasis, viral infections, especially human immunodeficiency virus (HIV), autoimmune diseases and immunodeficiencies.