RESUMO
The clinical, analytical and radiological findings of 25 cases of recurrent parotitis aging 2 to 12 years are reviewed. The greater incidence in males, the preferentially unilateral localization and the absence of an associated pathology or immunological defect is pointed out, considering the chronic recurrent parotitis and independent pathology. The value of sialography as a diagnostic method is confirmed, finding alterations in 90% of cases. The alterations of the acinar system represented as sialectasias were the most commonly found (86.9%), following in order of frequency the alterations of the ductal system (70%). Spontaneous recuperation with less frequent episodes in adolescence is common, and complications are rare, so that we consider symptomatic treatment appropriate, reserving surgical treatment for complicated cases.
Assuntos
Parotidite/diagnóstico , Criança , Pré-Escolar , Doença Crônica , Feminino , Humanos , Lactente , Masculino , Parotidite/fisiopatologia , RecidivaRESUMO
Three cases of idiopathic primary pulmonary hemosiderosis are reported. Hemosiderin was demonstrated in macrophages (siderophages) in all three cases. In one of them, isotopic examination with radioiron and in an other one, a pulmonary biopsy were performed. All the patients received corticosteroids. The first case had a good evolution in spite of five years without therapy. The second case showed a bad therapeutic response and required immunosuppressive drugs. The third case with a short follow-up is doing well. Literature is reviewed, and considerations about etiopathogeny, clinical features, roentgenographic and therapeutic aspects of the disease are made.
