Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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June 26, 2014
Juvenile Recurrent Parotitis
- Well-described but rare condition, manifested by recurrent idiopathic inflammation of the parotid glands
- Clinical Presentation: Acute episodes are described as involving painful, tender, and unilateral or bilateral parotid gland swelling. The frequency of events is variable. Typically occurs in the first 5 years of life. Most cases resolve by the patients' teens.
- Key Imaging Features: Imaging not always necessary to make the diagnosis. When obtained, enlarged parotid glands are noted. Numerous small cystic lesions within one or both parotid glands. Minimal dilatation of the ducts and ductules can be seen. Homogeneous enhancement of the parotid glands occurs following contrast administration.
- DDx: Lymphoepithelial cysts, juvenile Sjögren disease
- Rx: Conservative—warm compresses, antibiotics if necessary
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