Juvenile Recurrent Parotitis and Selective IgA Deficiency

Česká verzia

Authors: B. Krošláková ¹; G. Bugová ²; E. Hyrdelová ¹; Peter Bánovčin ¹ ; M. Jeseňák ¹
Authors place of work: Klinika detí a dorastu, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Univerzitná nemocnica, Martin, prednosta prof. MUDr. P. Bánovčin, CSc. ¹; Klinika otorinolaryngológie a chirurgie hlavy a krku, Jesseniova lekárska fakulta v Martine, Univerzitná nemocnica, Martin, prednosta prof. MUDr. A. Hajtman, Ph. D. ²
Published in the journal: Otorinolaryngol Foniatr, 64, 2015, No. 2, pp. 122-125.
Category: Case Reports

Summary

Diseases of parotid glands are in children very frequent. Juvenile recurrent parotitis represents a unique form of recurrent, usually non-purulent inflammation of parotid glands. It is usually unilateral and is accompanied by non-obstructive sialectasis. During the acute attack, the gland is edematous, enlarged, palpable painful with cloudy saliva from parotid duct after expression. It affects more frequently boys with the peak incidence between 5 – 6 years. In majority of the patients, the disease disappears during adolescence. Etiologically, various microorganisms together with anatomic abnormalities or immunodeficiencies play a role, but some cases are considered to be idiopathic. One of the rare reasons of recurrent parotitis is considered to be selective deficiency of IgA, which is the most frequent inherited immunodeficiency in population. It is strongly recommended to examine the serum concentration of immunoglobulins in patients with recurrent inflammation of parotid glands.

Authors present a case report of boy with juvenile recurrent parotitis associated with selective deficiency of IgA.

Keywords:
Juvenile recurrent parotitis, Payen disease, selective IgA deficiency, Sjögren syndrome, mucosal immunity

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