@article{e Sá_Fraga_Costa_Dias_Brito_2017, place={Porto, Portugal}, title={JUVENILE RECURRENT PAROTIDITIS…NOT ALWAYS WHAT IT SEEMS}, volume={22}, url={https://revistas.rcaap.pt/nascercrescer/article/view/12895}, DOI={10.25753/BirthGrowthMJ.v22.i1.12895}, abstractNote={<p align="justify"><strong>Introduction:</strong> Juvenile recurrent parotiditis (JRP) is a relapsing inflammation of the parotid gland, usually associated with non-obstructive sialectasis. The Sjögren syndrome (SS), rare in children, may present at this age, in the form of recurrent parotiditis.<br /> <strong>Case Study:</strong> Female, 13 years, in the fourth episode of parotid swelling and pain, begins investigating: ultrasound of the parotid glands revealed heterogeneous texture and multiple punctiforme calcifications, high ANA (1:1280) title, with speckled pattern, auto-antibodies anti-SSA, anti-SSB and Rheumatoid Factor positive, hyper-gamaglobulinemia and elevated Immunoglobulin G. We also observed elevation of Creatinofosfoquinase, Glutamic Oxaloacetic Transaminase and Glutamic Pyruvic Transaminase. A minor salivary gland biopsy was consistent with a diagnosis of SS. Treatment was started with systemic steroids combining hydroxychloroquine during exacerbations, with clinical improvement.<br /> <strong>Discussion/conclusion:</strong> The age of onset of parotid swelling helps in differentiation between JRP idiopathic and other clinical entities. The muscle involvement occurs in primary SS and has a varied clinical and pathological spectrum, subclinical myositis occurs in a percentage that varies between 5% and 37%.</p>}, number={1}, journal={NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL}, author={e Sá, Aida Silva and Fraga, José Carlos and Costa, Ana Margarida and Dias, Fátima and Brito, Iva}, year={2017}, month={Aug.}, pages={25–29} }