PROFILE OF PAEDIATRIC PATIENTS WITH CERVICAL LYMPHADENOPATHY: A STUDY FROM CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 27
Abstract
[b]INTRODUCTION:[/b] Cervical lymphadenopathy (CLA) is a common problem in clinical practice during childhood. Lymphadenopahy is the disease process of lymph nodes that render them abnormal in size and consistency. [b]AIM: [/b]To determine the causes of persistent lymphadenopathy in pediatric patient and to test a diagnostic approach in its management. [b]METHODS[/b]: This study was conducted at tertiary care hospital, over two year period amongst children between ages of 1-15 years with persistent lymph node enlargement of >1 cm in diameter and >2 weeks duration. [b]RESULTS: [/b]40(61.5%) had unilateral cervical lymph node enlargement, while in 25 children (38.5%) the pathology was bilateral. We found that in 35 children (53.8%) the lymph nodes regressed in size over 2 weeks’ time and in 15 (23%) children, they regressed in 4 weeks’ time as proved by ultrasonography examination. Fever was the commonest systemic manifestation in these children 80%, 7(10.7%) had lymph node abscess on initial presentation. [b]CONCLUSION: [/b]Reactive lymphadenitis is the commonest cause of cervical lymph node enlargement in children. Majority of lymph nodes regress in 4 weeks’ time. Persisting lymph nodes more than 4 weeks warrant histological examination. Tuberculosis is a common cause of cervical lymphadenopathy among Indian patients
Authors and Affiliations
Jharna Mishra, Maheshwari M, Roshan Chanchlani
Keywords
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- EP ID EP101111
- DOI 10.14260/jemds/2014/2907
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