Cervical
Lymphadenopathy
most common neck
mass in children.
If - anterior to
the sternocleidomastoid muscle.
Infection is the
usual cause of enlargement; viral etiology and persist for months.
Acute suppurative
submandibular adenitis occur in early childhood (6 mo-3 yrs), is preceded by
pharyngitis or URI, the child develops erythema, swelling and cellulitis, and
management is antibiotics and drainage.
Chronic adenitis: -
persistent node
(> 3 wk., tonsillar),
solitary,
non-tender, mobile and soft.
Generally no treatment
if < 1 cm,
nodes above 2 cm
sizes with rapid growth, clustered, hard or matted do biopsy.
Other causes are:
(1) Mycobacterial adenitis- atypical (MAIS complex), swollen, non-tender,
nor-inflamed, positive skin test, excision is curative,
(2) Cat-Scratch
adenitis- caused by A. Fellis, transmitted by kittens, positive complement
fixation test, minimally tender, fluctuant regional nodes, spontaneous
resolution.
(3) Hodgkin's
disease - teenage and young adults, , non-tender node, associated to weight
loss, biopsy is diagnostic.
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