International Journal of Paediatrics and Geriatrics
2020, Vol. 3, Issue 1, Part A
To study the clinico-pathological picture among children aged 1-18 years in relation to paediatric cervical lymphadenopathy in a tertiary care hospital, Telangana, South India
Dr. Paka Rajanna Rajender and Dr. Manoj Patruni
Background: Lymph node enlargement is an age related physiological change which is normal in every individual. Lymph node enlargement is a common problem in children and evaluation of a child with lymphadenopathy is utmost important It may also occur due to chronic infections and other conditions like autoimmune disorders. Etiology varies from region to region. Aim and objective is to study the clinico-pathological picture of significant cervical lymphadenopathy in pediatric age group and to arrive at an etiological diagnosis. Methodology: Hospital based prospective observational study. Fifty children with cervical lymph node enlargement attending the Pediatric unit of RVM Institute of medical sciences, Siddipet (D), Telangana State from June 2019 December 2019 were taken as study participants. Manteaux test, hematological investigations, FNAC was performed in all the cases. Additional investigations were done wherever required.Results: Among 50 cases the common age group was 11 15 years (38%) children. The etiology was confirmed in 82% cases and could not be confirmed in 16% cases even after other investigations. Cytological examination revealed lymphoid nodular hyperplasia 48% cases, tubercular lymphadenitis in 24% cases and Suppurative lymphadenitis 12% cases. Commonest etiological diagnosis after detailed investigation was found to be due to infections due to bacteria, fungi, viruses in 60% cases followed by tuberculosis in 16% cases and there were 8% cases caused due to measles.Conclusion: Reactive nodular lymphadenitis was the commonest problem which is treatable. Further follow-up involving detection of antigen and antibodies against viruses, parasites and rare causes of lymphadenopathy may decrease the incidence of new significant cervical lymphadenopathy among children of pediatric age group.
Pages: 04-08 | Views: 481 | Downloads: 250
How to cite this article:
Dr. Paka Rajanna Rajender, Dr. Manoj Patruni. To study the clinico-pathological picture among children aged 1-18 years in relation to paediatric cervical lymphadenopathy in a tertiary care hospital, Telangana, South India. Int J Paediatrics Geriatrics 2020;3(1):04-08. DOI: 10.33545/26643685.2020.v3.i1a.51