Chapter 308 Diseases of the Salivary Glands and Jaws
With the exception of mumps (Chapter 240), disease of the salivary glands is rare in children. Bilateral enlargement of the submaxillary glands can occur in AIDS, cystic fibrosis, Epstein-Barr virus infection, and malnutrition and, transiently, during acute asthmatic attacks. Chronic vomiting can be accompanied by enlargement of the parotid glands. Benign salivary gland hypertrophy has been associated with endocrinopathies: thyroid disease, diabetes, and disorders of the pituitary-adrenal axis.
Recurrent Parotitis
Recurrent idiopathic swelling of the parotid gland can occur in otherwise healthy children. The swelling is usually unilateral, but both glands can be involved simultaneously or alternately. There is little pain; the swelling is limited to the gland and usually lasts 2-3 wk. The incidence appears to be higher in the spring.
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