medigraphic.com
ISSN 2683-1678 (Print)
Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2020, Number 1

<< Back Next >>

Rev Latin Infect Pediatr 2020; 33 (1)

Cervical lymphadenopathy in pediatrics

Castañeda NJL, Narro FME, Fortes GS

Language: Spanish
References: 12
Page: 44-48
PDF size: 256.98 Kb.


ABSTRACT

Cervical lymphadenopathy is common in pediatrics and often represents a diagnostic challenge. The incidence is difficult to determine because it is usually caused by a viral infection of the upper respiratory tract and is self-limited. Estimates vary from 62% in patients three weeks to sic months of age, 41% in those two to five years to more than 90% in children four to eight years. Fortunately, 80 to 90% of pediatric neck lymphadenopathies are benign in nature. A complete medical history and an adequate physical examination are essential as part of the initial approach to differentiate benign lesions from malignant ones. An accurate diagnosis is essential for treatment planning as well as prognosis.


REFERENCES

  1. Sahai S. Lymphadenopathy. Pediatr Rev. 2013; 34 (5): 216-227.

  2. Gaddey H, Riegel A. Unexplained lymphadenopathy: evaluation and differential diagnosis. Am Fam Physician. 2016; 94 (11): 896-903.

  3. Freeman AM, Matto P. Adenopatía. [Actualizado el 27 de noviembre de 2019]. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019. Disponible en: https://www-ncbi-nlm-nih-gov.pbidi.unam.mx:2443/books/NBK513250/

  4. Deosthali A, Donches K, DelVecchio M, Aronoff S. Etiologies of pediatric cervical lymphadenopathy: a systematic review of 2687 subjects. Glob Pediatr Health. 2019; 6: 2333794X19865440.

  5. Bozlak S, Varkal MA, Yildiz I, Toprak S, Karaman S, Erol OB et al. Cervical lymphadenopathies in children: a prospective clinical cohort study. Int J Pediatr Otorhinolaryngol. 2016; 82: 81-87.

  6. Indolfi P, Perrotta S, Rossi F, Di Martino M, Pota E, Di Pinto D et al. Childhood head and neck lymphadenopathy a report by a single institution (2003-2017). J Pediatr Hematol Oncol. 2019; 41 (1): 17-20.

  7. Rosenberg TL, Nolder AR. Pediatric cervical lymphadenopathy. Otolaryngol Clin North Am. 2014; 47 (5): 721-731.

  8. Bazemore A, Smucker D. Lymphadenopathy and malignancy. Am Fam Physician. 2002; 66 (11): 2103-2110.

  9. Habermann T, Steensma D. Lymphadenopathy. Mayo Clin Proc. 2000; 75 (7): 723-732.

  10. Friedmann AM. Evaluation and management of lymphadenopathy in children. Pediatr Rev. 2008; 29 (2): 53-60.

  11. American College of Radiology. ACR Appropriateness Criteria: neck mass/adenopathy. [Acceso 5 de enero 2020] Disponible en: https://acsearch.acr.org/docs/69504/Narrative/

  12. Nolder AR. Paediatric cervical lymphadenopathy: when to biopsy? Curr Opin Otolaryngol Head Neck Surg. 2013; 21 (6): 567-570.




2020     |     www.medigraphic.com