Hearth-Holmes M, Baethge B A, Abreo F, Wolf R E
Department of Medicine, Louisiana State University Medical Center, Shreveport 71130-3932.
Arch Otolaryngol Head Neck Surg. 1993 Mar;119(3):347-9. doi: 10.1001/archotol.1993.01880150103015.
To describe a case of autoimmune exocrinopathy in a child at the age of 3 months who presented with the original diagnosis of recurrent parotitis.
This a case report of a 9-year-old girl with recurrent parotitis who was later found to have Sjögren's syndrome. The literature relating to primary Sjögren's syndrome in the pediatric population is reviewed.
The patient was seen in the rheumatology and otolaryngology clinics at a university medical center.
This study did not address therapy.
Diagnosis of Sjögren's syndrome.
The patient had xerostomia, an abnormal result of a salivary gland biopsy, SSA and SSB antibodies, and the histocompatibility antigens HLA-B8 and HLA-DR3 that are associated with Sjögren's syndrome.
Primary Sjögren's syndrome should be considered in cases of recurrent parotitis of childhood. More studies are needed to assess the natural history of autoimmune exocrinopathy in children.
描述一名3个月大儿童的自身免疫性外分泌腺病病例，该患儿最初诊断为复发性腮腺炎。
这是一例9岁复发性腮腺炎女孩的病例报告，该女孩后来被发现患有干燥综合征。回顾了与儿科原发性干燥综合征相关的文献。
患者在大学医学中心的风湿病科和耳鼻喉科门诊就诊。
本研究未涉及治疗。
干燥综合征的诊断。
该患者有口干症状、唾液腺活检结果异常、抗SSA和抗SSB抗体，以及与干燥综合征相关的组织相容性抗原HLA - B8和HLA - DR3。
儿童复发性腮腺炎病例应考虑原发性干燥综合征。需要更多研究来评估儿童自身免疫性外分泌腺病的自然病程。
