Pediatric Cervical Lymphadenopathy

Pediatrics in Review
Michael S WeinstockLee P Smith

Abstract

Cervical lymphadenopathy affects as many as 90% of children aged 4 to 8 years. With so many children presenting to doctors' offices and emergency departments, a systematic approach to diagnosis and evaluation must be considered. In the following review, we aim to provide the pediatric clinician with a general framework for an appropriate history and physical examination, while giving guidance on initial diagnostic laboratory testing, imaging, and potential need for biopsy. The most common cause of cervical lymphadenopathy in the pediatric population is reactivity to known and unknown viral agents. The second most common cause includes bacterial infections ranging from aerobic to anaerobic to mycobacterial infections. Malignancies are the most concerning cause of cervical lymphadenopathy.The explosion in the use of ultrasonography as a nonradiating imaging modality in the pediatric population has changed the diagnostic algorithm for many clinicians. We aim to provide some clarity on the utility and shortcomings of the imaging modalities available, including ultrasonography, computed tomography, and magnetic resonance imaging.

References

Jun 1, 1974·The Journal of Pediatrics·L L Barton, R D Feigin
Oct 1, 1994·Acta Paediatrica·L O LarssonA Lind
Jun 1, 1997·The Journal of Laryngology and Otology·A A Connolly, K MacKenzie
Sep 5, 1998·Pediatric Clinics of North America·C S Kelly, R E Kelly
Sep 17, 1998·Archives of Otolaryngology--head & Neck Surgery·J A JordanM J Biavati
Nov 5, 1999·Journal of Pediatric Surgery·O S SoldesR B Hirschl
Nov 15, 2002·Pediatric Clinics of North America·Clare J Twist, Michael P Link
Apr 15, 2004·International Journal of Pediatric Otorhinolaryngology·Ibrahim Albert SroujiPhillip Monnery
Jun 15, 2004·Lancet·J G Montoya, O Liesenfeld
Aug 9, 2006·Clinical Pediatrics·Nilgun YarisUmit Cobanoglu
Oct 19, 2006·Pediatric Emergency Care·Aaron E ChenGeorge K Siberry
Nov 14, 2006·International Journal of Pediatric Otorhinolaryngology·Grazyna NiedzielskaPawel Wieczorek
Mar 17, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jerome A LindeboomJan M Prins
Aug 30, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Patrick D MunsonLaura J Orvidas
Apr 14, 2010·Journal of Pediatric Surgery·Jingfu WangXishan Hao
Oct 26, 2012·AJR. American Journal of Roentgenology·Benjamin J LudwigOsamu Sakai
Mar 28, 2013·International Journal of Pediatric Otorhinolaryngology·Laura NeffJulie L Wei
Jun 12, 2013·International Journal of Pediatric Otorhinolaryngology·Lyndsay FraserFiona B MacGregor
Dec 3, 2013·International Journal of Pediatric Otorhinolaryngology·Dong Hoon LeeSang Chul Lim

❮ Previous
Next ❯

Citations

Feb 28, 2019·Diagnosis·Margaret L RushPriti Bhansali
Nov 20, 2019·Pediatric Dermatology·Ana Isabel Rodríguez BanderaRaúl de Lucas Laguna
Nov 7, 2019·BMJ Case Reports·Miguel Paiva PereiraAna Serrão Neto
Jul 3, 2020·Pediatrics in Review·Karin LammertMerium Saidi
Jul 28, 2020·Archives of Disease in Childhood·Michael PaddockAnnmarie Jeanes
Oct 29, 2020·Journal of Pediatric Surgery·Christa N GrantDavid A Rodeberg
Feb 9, 2021·Clinical Radiology·O Meadows, J Sarkodieh
Dec 8, 2020·Singapore Medical Journal·Serena Su Ying ChangDawn Meijuan Lee
Mar 17, 2021·Head and Neck Pathology·A AuerbachN S Aguilera
May 13, 2021·PloS One·Nemanja RankovicRadoje Simic
Jul 27, 2021·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Emma K Wojtal

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antivirals

Antivirals are medications that are used specifically for treating viral infections. Discover the latest research on antivirals here.

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Antivirals (ASM)

Antivirals are medications that are used specifically for treating viral infections. Discover the latest research on antivirals here.

Related Papers

Duodecim; lääketieteellinen aikakauskirja
M L KatilaA Backman
The Journal of Headache and Pain
Andrea RomanoAlessandro Bozzao
Nihon rinsho. Japanese journal of clinical medicine
Satoshi Ichiyama
Archives of Disease in Childhood
D Burgner, A Kakakios
© 2022 Meta ULC. All rights reserved