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2014 ; 49
(1
): 30-5
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Evaluation of children with lympadenopathy
#MMPMID26078629
Ata? E
; Kesik V
; Fidanc? MK
; K?smet E
; Köseo?lu V
Turk Pediatri Ars
2014[Mar]; 49
(1
): 30-5
PMID26078629
show ga
AIM: To examine children who present with enlargement of lymph nodes in terms of
demographic, clinical, serological and radiological aspects. MATERIAL AND
METHODS: Ninety-eight patients who presented with a complaint of enlargement of
lymph nodes were examined in terms of demographic, clinical, serological and
radiological aspects by screening file data retrospectively. The character of
lymph nodes (reactive, malign) was evaluated according to the distribution,
number, sizes and blood supply determined in ultrasonographic measurements.
Fisher's Exact test and Mann-Whitney U Test were used in comparison of the
groups. Kappa value was used in assessment of compatibility between the two
groups. RESULTS: Cervical lymphadenomegaly was found most frequently in
accordance with the complaint of swelling in the neck. Erythrocyte sedimentation
rate, ultrasonography, Epstein-Barr virus (EBV) and cytomegalovirus (CMV) IgM
were not found to be statistically significatly different between the normal and
abnormal physical examination groups (erythrocyte sedimentation rate; p=0.623,
USG; p=0.753, EBV and CMV; p=1.00). Cytomegalovirus and EBV IgM were not found to
be statistically significatly different between the normal and abnormal
ultrasonography groups (CMV; p=0.35, EBV; p=0.36). There was no compatibility
between physical examination and ultrasonography (=0.32). CONCLUSION:
Lymphadenopathy is a common problem in the childhood and necessitates a careful
physical examination and follow-up. Laboratory and imaging methods should be used
when necessary. Although lymphadenopathy is mostly related with infections, care
should be taken in terms of malignancy and malignancy should be eliminated. The
important point is systemic evaluation and follow-up of the patient. It is
important to note physical examination findings and clinical follow-up findings,
because frequent ultrasonographic investigations may confuse physicians and
families with high values of lymph node measurements despite normal physical
examination. Therefore, using our fingertips with a good physical examination is
still our most sensitive diagnostic tool instead of ultrasonography.
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