April 1976

Picture of the Month

Author Affiliations

rom the Department of Pediatrics, University of Texas, Galveston.

Am J Dis Child. 1976;130(4):417-418. doi:10.1001/archpedi.1976.02120050075013

Denouement and Discussion 

Mumps With Presternal Edema 

Manifestations  Approximately 6% of patients with mumps develop edema of the soft tissues overlying the sternum. The swelling usually appears five to eight days after the glandular swelling and lasts approximately five days. The maximum amount of swelling occurs during the second and third days. The lower border of the swelling extends to a point ranging between the third interspace and the xiphoid process. Laterally, the edema, which may be pitting, extends an equal distance on both sides of the sternum varying from a point 3 cm from the edge of the sternum to the midclavicular line. There appears to be no relationship between the severity of the mumps and the degree of edema unless only the parotid gland is involved, at which time the edema is usually mild and lasts for a brief duration. Less frequently found manifestations include dysphagia, hoarseness, and

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