tailieunhanh - báo cáo khoa học: "Idiopathic eosinophilic parotitis in an eight-yearold boy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Idiopathic eosinophilic parotitis in an eight-yearold boy: a case report | Frati et al. Journal of Medical Case Reports 2011 5 385 http content 5 1 385 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Idiopathic eosinophilic parotitis in an eight-year-old boy a case report 1 12 3 4 Franco Frati Rachele Boccardo Silvia Scurati Matteo Gelardi and Cristoforo Incorvaia Abstract Introduction A number of medical conditions some of them recently reported are associated with an increased production of eosinophils. We report the first case of eosinophilic parotitis in the literature. Case presentation The patient was an eight-year-old Caucasian boy who presented with a two-year history of recurring acute parotitis with no fever. He had had a total of five episodes with no response to antibiotics but remission had been achieved with oral corticosteroid therapy. We performed allergy tests for inhalant and food allergens and for haptens but the results were all negative. The results of echography ruled out sialodochitis. Instead a swab from the parotid duct led to the detection of a high number of eosinophils. Conclusions This report is first in the literature to describe a case of eosinophilic parotitis and we suggest that a cytological assessment which is quite simple yet rarely used by physicians be performed when patients with parotitis of uncertain origin are under evaluation. Introduction A number of medical conditions are associated with increased production of eosinophils. A few of the most well known are eosinophilic pneumonia 1 eosinophilic bronchitis 2 and non-allergic rhinitis with eosinophilia syndrome nares and related disorders 3 but new entities such as eosinophilic esophagitis 4 and others are being added to this list. Very recently a case of eosinophilic sialodochitis that is an inflammation of the parotid salivary duct was reported 5 . In this report we describe the first case of eosinophilic parotitis in the literature. Parotitis is an inflammation of the parotid salivary gland that can be acute

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