摘要
目的：幼年型復發性腮腺炎是一種孩童罕見的反復性非阻塞及非化膿性腮腺發炎，其發病原因眾多。 材料及方法：本篇即就於1999年6月至2004年9月在馬偕醫院診斷為幼年型復發性腮腺炎的病童進行探討，同時探討雙側唾腺攝影是否對診斷有所助益。 結果：本文共回顧12位病患，發病年齡從3歲至8 歲（平均為5.1歲）。每次病程平均為3.5日。主要病徵為發燒、單側或雙側腮腺腫脹及疼痛。其中，有一女性病童同時合併有口乾及乾眼症且小唾腺病理切片確診為幼年型Sjogren氏症候群。此外，有6位病童其抗核抗體為陽性反應。9位接受雙側唾腺攝影病童中，4位為正常，2位呈現單側點狀唾腺管擴大，其餘3位為雙側唾管擴大。於雙側唾腺攝影後，彼發的次數由年5.1次下降至每年0.6次(P=0.001) 結論：雙側唾腺攝影可幫助診斷幼年型復發性腮腺炎。
並列摘要
Background: Juvenile recurrent parotitis (JRP) is a rare, recurrent non-obstructive, nonsuppurative parotid inflammation in young children with a multifactorial etiology. Methods: The records of 12 children with recurrent parotitis were retrospectively reviewed. Results: The age of onset ranged from 3 to 8 years (mean, 5.1 years). Each attack lasted an average of 3.5 days. The major clinical manifestations included fever (75%), swelling (100%), and pain (100%). One girl also had xerostomia and keratoconjunctivitis sicca. Her biopsy specimen from a minor salivary gland was consistent with juvenile Sjögren's syndrome. Six patients had positive antinuclear antibodies (4 with a speckled pattern and 2 each with a homogeneous or nucleolar pattern). Bilateral sialography was performed in 9 children. The results in 4 were normal, 2 had unilateral punctate sialectasis, and 3 had bilateral sialectasis. After sialography, the frequency of recurrences significantly decreased from 5.11 to 0.56 per year (P＜0.05). Conclusions: Bilateral sialography is useful for the diagnosis of JRP, but it also appears to decrease the frequency of recurrences.
延伸閱讀
- 王聰淇、塗世達（2004）。幼年型復發性腮腺炎(Juvenile recurrent parotitis)。臺灣兒童過敏氣喘及免疫學會學會通訊，5(4)，4-6。https://doi.org/10.7025/HEJ.200412.0004
- 季雅潔、魏敏佳、沈心嵐、林彥宏（2018）。單側腮腺同時多發性華生氏瘤－病例報告。臺灣口腔顎面外科學會雜誌，29(2)，142-152。https://www.airitilibrary.com/Article/Detail?DocID=a0000494-201806-201807310018-201807310018-142-152
- 廖敏君、侯友益、朱繡棟 （2004）。孩童腮腺腫塊之臨床分析。台灣耳鼻喉頭頸外科雜誌，39(4)，135-139。https://doi.org/10.6286/2004.39.4.135
- Chang, C. H., Chang, K. P., Huang, S. H., Lai, C. S., & Lin, S. D. (2010). 雙側多發性腮腺併腮腺外華生氏瘤－病例報告. 臺灣整形外科醫學會雜誌, 19(1), 60-64. https://doi.org/10.7096/TJTSPS.201003.0060
- 沈益宏、甘希郁、陳國東（1994）。桃園縣平鎮市某幼稚園腮腺炎流行調查報告。疫情報導，10(3)，45-52。https://doi.org/10.6524/EB.199403_10(3).0001