Lymphadenitis

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Cristina Epalza - One of the best experts on this subject based on the ideXlab platform.

Woo Joo Kim - One of the best experts on this subject based on the ideXlab platform.

  • disease spectrum of cervical Lymphadenitis analysis based on ultrasound guided core needle gun biopsy
    Journal of Infection, 2007
    Co-Authors: Joon Young Song, Hee Jin Cheong, Sae Yoon Kee, Jacob Lee, Jang Wook Sohn, Min Ja Kim, Sang I L Seo, In Sun Kim, Woo Joo Kim
    Abstract:

    Summary Objectives Despite the high frequency of cervical lymphadenopathy in the outpatient clinics, there was no published data on the disease spectrum of cervical lymphadenopathy among adult outpatients. We are evaluating the disease spectrum of cervical Lymphadenitis in the outpatient setting. Methods As for the patients with cervical Lymphadenitis, ultrasound-guided core-needle gun biopsy has been performed in Korea University Hospital. We reviewed medical records of adult outpatients with cervical Lymphadenitis between January 2004 and April 2006, and compared the clinical, laboratory and radiological differences among them. Results The study included 147 patients with the mean age of 33.7 years. Histopathological diagnoses were obtained from 137 (93.2%) cases: Kikuchi's disease (34.7%), tuberculous Lymphadenitis (22.4%), non-specific Lymphadenitis (22.4%), lymphoma (6.1%), metastatic carcinoma (3.4%), etc. Overall, clinical manifestations were indistinguishable among tuberculous Lymphadenitis, Kikuchi's disease and non-specific Lymphadenitis. Leucopenia was characteristic of Kikuchi's disease, while anemia, thrombocytosis and pulmonary tuberculosis (irrespective of activity) were more common in the tuberculous Lymphadenitis. Conclusion Kikuchi's disease and tuberculosis were the most common and clinically important causes of cervical Lymphadenitis. Complete blood count, chest X-ray and ultrasound-guided core-needle gun biopsy would be helpful in the differential diagnosis of cervical Lymphadenitis, especially between Kikuchi's disease and tuberculous Lymphadenitis.

Raquel Olivas-mazón - One of the best experts on this subject based on the ideXlab platform.

Dimitris A. Kafetzis - One of the best experts on this subject based on the ideXlab platform.

  • Nontuberculous mycobacterial Lymphadenitis in children.
    The Pediatric infectious disease journal, 1999
    Co-Authors: Helen C. Maltezou, Panagiotis Spyridis, Dimitris A. Kafetzis
    Abstract:

    Objectives. To describe the clinical and epidemiologic features, management and outcome associated with the development of nontuberculous mycobacterial (NTM) superficial Lymphadenitis in children. Methods. The medical records of all children 0 to 14 years of age with NTM superficial Lymphadenitis who were diagnosed at P. and A. Kyriakou Children's Hospital between January, 1982, and December, 1997, were reviewed. Results. Forty-seven children were identified, 76.5% during the second half of the study period. Mycobacterium avium complex was the predominant isolate. Children with NTM Lymphadenitis noted satisfactory aesthetic results when total excision was performed within 1 month after its onset. Conclusions. NTM superficial Lymphadenitis in children has been increasingly recognized during the last decade. Prompt total excision of the involved lymph node is required in such patients.

Siew Meng Chong - One of the best experts on this subject based on the ideXlab platform.

  • tuberculous and nontuberculous cervical Lymphadenitis a clinical review
    Otolaryngology-Head and Neck Surgery, 2002
    Co-Authors: Siew Shuen Chao, Siew Meng Chong
    Abstract:

    Abstract Objectives: The aim of the present study was to identify differences in clinical characteristics between patients with tuberculous cervical Lymphadenitis and those with nontuberculous cervical Lymphadenitis and to determine the diagnostic accuracy of fine needle aspiration (FNA) cytology. Study Design and Setting: Seventy-two patients with inflammatory cervical Lymphadenitis were studied retrospectively. They were divided into 2 groups: group 1 consisted of those with tuberculous Lymphadenitis and group 2 consisted of those with non-tuberculous Lymphadenitis. The demographic characteristics, clinical parameters, and hematological and cytological results of the 2 groups were compared. Results: Other than there being a significantly higher proportion of foreign-born patients in group 1, there were no differences in clinical characteristics between the 2 groups. The sensitivity and specificity of FNA cytology in the diagnosis of tuberculous Lymphadenitis were 88% and 96%, respectively. Conclusion: It is difficult to clinically differentiate tuberculous from nontuberculous Lymphadenitis. FNA cytology is useful in the diagnosis of tuberculous Lymphadenitis. Significance: In regions where tuberculosis is endemic, treatment can be instituted without the need for excisional biopsy if the FNA results show characteristic caseating granuloma. (Otolaryngol Head Neck Surg 2002;126:176-9.)

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