[Recurrent chronic parotiditis in childhood: An update of the literature]. / Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura.

Recurrent childhood chronic parotiditis (RCCP) is a relevant pathology. Its diagnosis is mainly clinical, but it relies on imaging tests. The current treatment approach is diverse. The aim of this article is to update the clinical features, complementary tests, etiopathogenic models and therapeutic protocols of this disease. MATERIAL AND METHOD: A bibliographic search was performed in PUBMED using the free terms and MESH terms: RCCP, recurrent parotiditis, chronic parotiditis and parotiditis. The filters used were human patients, up to 18 years old, with abstract. In SCIELO the free terms included were Parotiditis and chronic. Articles published in English, Spanish or Portuguese until 2017 were included. RESULTS: In PUBMED 119 articles were found and 44 were included. The exclusion of the remaining articles was due to language, access to the article or absence of relationship between the article and the proposed revision. In SCIELO 6 articles were found 6 of which 5 were selected. The multidisciplinary asses of patients with RCCP is considered the appropriate treatment. Its diagnosis is clinical but it relies on imaging tests, such as echography and sialography. CONCLUSIONS: The current treatment approach is conservative, and the best available evidence supports the use of sialendoscopy with irrigation and administration of antibiotics and/or corticosteroids via the parotid duct. However, there would be proper results with intraglandular lavage with physiological solutions without the need for a sialendoscope.

Parotiditis crónica recurrente infantil: una revisión actualizada de la literatura / Recurrent chronic parotiditis in childhood: an update of the literature

La parotiditis crónica recurrente infantil (PCRI) es una patología relevante. Su diagnóstico es principalmente clínico, pero se apoya en exámenes imagenológicos. El enfoque actual del tratamiento es diverso. El objetivo es realizar una revisión actualizada sobre las características clínicas, exámenes complementarios, modelos etiopatogénicos y protocolos terapéuticos. MATERIAL Y MÉTODO: Se realizó una búsqueda bibliográfica en PUBMED utilizando los términos libres y términos MESH: PCRI, parotiditis recurrente, parotiditis crónica y parotiditis. Los filtros utilizados fueron pacientes humanos, hasta 18 años, con resumen. En el buscador Scielo se incluyeron los términos libes Parotiditis y crónica. Se incluyeron artículos publicados en idiomas inglés, español o portugués hasta el año 2017. RESULTADOS: En el buscador PUBMED se encontraron 119 artículos de los cuales sólo se incluyeron 44. La exclusión de los artículos restantes se debió a idioma, acceso al artículo o ausencia de relación entre el artículo y la revisión propuesta. En el buscador Scielo se encontraron 6 artículos de los cuales 5 fueron seleccionados. La evaluación multidisciplinaria permite el tratamiento oportuno. Su diagnóstico es clínico pero se apoya en exámenes imagenológicos, como la ecografía y la sialografía. CONCLUSIONES: El enfoque actual de tratamiento es conservador, y la mejor evidencia disponible apoya el uso de sialendoscopia con irrigación y administración de antibióticos y/o corticoides vía conducto parotídeo, sin embargo, existirían buenos resultados con lavados intraglandulares con soluciones fisiológicas sin necesidad de sialendoscopio.

Recurrent childhood chronic parotiditis (RCCP) is a relevant pathology. Its diagnosis is mainly clinical, but it relies on imaging tests. The current treatment approach is diverse. The aim of this article is to update the clinical features, complementary tests, etiopathogenic models and therapeutic protocols of this disease. MATERIAL AND METHOD: A bibliographic search was performed in PUBMED using the free terms and MESH terms: RCCP, recurrent parotiditis, chronic parotiditis and parotiditis. The filters used were human patients, up to 18 years old, with abstract. In SCIELO the free terms included were Parotiditis and chronic. Articles published in English, Spanish or Portuguese until 2017 were included. RESULTS: In PUBMED 119 articles were found and 44 were included. The exclusion of the remaining articles was due to language, access to the article or absence of relationship between the article and the proposed revision. In SCIELO 6 articles were found 6 of which 5 were selected. The multidisciplinary asses of patients with RCCP is considered the appropriate treatment. Its diagnosis is clinical but it relies on imaging tests, such as echography and sialography. CONCLUSIONS: The current treatment approach is conservative, and the best available evidence supports the use of sialendoscopy with irrigation and administration of antibiotics and/or corticosteroids via the parotid duct. However, there would be proper results with intraglandular lavage with physiological solutions without the need for a sialendoscope.

Odontoma complejo erupcionado: reporte de un caso / Erupting complex odontoma: a case report

Los odontomas están compuestos de esmalte, dentina, cemento y tejido pulpar. Histológicamente se clasifican en 2 grupos: compuestos y complejos, mientras que clínicamente se clasifican en 3 tipos: odontoma central (intraóseo), odontoma periférico (extraóseo o de los tejidos blandos) y odontoma erupcionado. Epidemiológicamente son reportados como los tumores odontogénicos más frecuentes, sin embargo la erupción de este tipo de lesión es poco común, produciéndose en el 1,6% de los casos. Por lo general son asintomáticos, siendo comúnmente un hallazgo radiográfico, y en algunos casos pueden estar asociados con alteraciones de la erupción dentaria. Este estudio corresponde a un caso clínico de un odontoma complejo de gran tamaño que erupciona en la cavidad oral asociado a un molar retenido.

Odontomas consist of enamel, dentin, cementum, and pulp tissue. Histologically, they are classified into 2 groups: compounds and complexes. They are also clinically classified into 3 types: Central odontoma (intraosseous), peripheral odontoma (extraosseous or soft tissue odontoma) and erupted odontoma. Epidemiologically they are reported as the most frequent odontogenic tumor, however, the eruption of this type of lesion is rare, and odontoma occurs only in 1.6% of cases.

Oral metastasis of renal cell carcinoma, presentation of a case.

The oral cavity constitutes a site of low prevalence for metastasis of malignant tumors. Nevertheless, it has a high prevalence for metastasis of renal origin. Besides the kidneys, there are other primary sites with high prevalence of metastasis to the oral mucosa, such as the lungs, skin and breasts. Metastasis is common in patients with a background of treated renal tumors, thereby, it is proper to determine the possibility of oral metastasis as part of the protocol of attention. However, it constitutes a diagnostic challenge when it presents in patients with no renal antecedents. It is in this type of patients that the diagnosis of carcinoma is achieved by means of a metastasis. Survival rate in these patients is short because at the time of the metastasis diagnosis, the general compromise is high. The following report describes a case referred from the Rheumatology Unit with an intraoral tumor, that was finally diagnosed as a Metastasic Renal Cell Carcinoma with multiple metastasis.

Oral metastasis of renal cell carcinoma, presentation of a case

The oral cavity constitutes a site of low prevalence for metastasis of malignant tumors. Nevertheless, it has a highprevalence for metastasis of renal origin. Besides the kidneys, there are other primary sites with high prevalence ofmetastasis to the oral mucosa, such as the lungs, skin and breasts.Metastasis is common in patients with a background of treated renal tumors, thereby, it is proper to determine thepossibility of oral metastasis as part of the protocol of attention. However, it constitutes a diagnostic challengewhen it presents in patients with no renal antecedents. It is in this type of patients that the diagnosis of carcinomais achieved by means of a metastasis. Survival rate in these patients is short because at the time of the metastasisdiagnosis, the general compromise is high.The following report describes a case referred from the Rheumatology Unit with an intraoral tumor, that was finallydiagnosed as a Metastasic Renal Cell Carcinoma with multiple metastasis (AU)

Beckwith Wiedemann syndrome: presentation of a case report.

Beckwith Wiedemann Syndrome (BWS) is a rare congenital disease of low prevalence. However, it presents a high prevalence within the genetic pathologies of overgrowth. This syndrome presents typical manifestations such as macroglossia, macrosomy at birth, omphalocele and defects of the anterior abdominal wall. Its origin is known to be genetic, but its mechanism of generation is not clear. This syndrome has been the object of wide studies since investigators have established a relationship between the methods of assisted fertilization (assisted reproduction treatment, ART) and its appearance. Currently, research is oriented towards the improvement of the prenatal diagnostic techniques, which would allow a preparation of the multidisciplinary medical team to treat the pathologies with which these patients are born. Next we present the case of a 1 year-old child who consults this service with a diagnosis of macroglossia associated with BWS.

Beckwith Wiedemann Syndrome: Presentation of a case report

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Beckwith Wiedemann Syndrome (BWS) is a rare congenital disease of low prevalence. However, it presents a highprevalence within the genetic pathologies of overgrowth. This syndrome presents typical manifestations such asmacroglossia, macrosomy at birth, omphalocele and defects of the anterior abdominal wall. Its origin is known to be genetic, but its mechanism of generation is not clear. This syndrome has been the object of wide studies since investigators have established a relationship between the methods of assisted fertilization (assisted reproduction treatment, ART) and its appearance.Currently, research is oriented towards the improvement of the prenatal diagnostic techniques, which would allow a preparation of the multidisciplinary medical team to treat the pathologies with which these patients are born.Next we present the case of a 1 year-old child who consults this service with a diagnosis of macroglossia associated with BWS