Juvenile Recurrent Parotitis: A Case Report Emphasizing the Clinical and Ultrasonographic Features

Juvenile recurrent parotitis (JRP), a rare salivary gland disease of obscure etiology, commonly affects children. This condition is characterized by recurrent unilateral or bilateral parotid swelling, accompanied by pain, fever, and redness of the skin overlying the gland. A 5-year-old girl was referred for evaluation of multiple episodes of recurrent parotid swelling in the past year. Her medical history revealed 2 previous episodes on each side of her face. Clinical examination revealed painful parotid enlargement on the left side, accompanied by fever and redness of skin. Intraoral examination did not reveal any evidence of swelling or lesion. Ultrasonography showed hyperechoic areas, with cavitation of the parotid gland. Laboratory tests showed increased amylase activity and total leukocyte count. The final diagnosis of JRP was confirmed. Clinicians should be aware of this condition and consider it in the differential diagnosis of recurrent parotid swelling in pediatric patients.