bilateral cervical lymphadenopathy- need to think beyond tuberculosis
نویسندگان
چکیده
any patient with bilateral lymphadenopathy especially in indian subcontinent is regarded as suffering from tuberculosis unless proved otherwise. this sometimes leads to unwarranted delay in correct diagnosis and management if there is ignorance regarding other rarer etiologies. rosai-dorfman disease (rdd) may present in the same manner and should always be kept on the back of the mind to help avoid unnecessary empirical anti-tuberculous therapy that is usually prescribed in so called difficult-to-diagnose tuberculosis infections.
منابع مشابه
Bilateral Cervical Lymphadenopathy- Need to Think Beyond Tuberculosis
Any patient with bilateral lymphadenopathy especially in Indian subcontinent is regarded as suffering from tuberculosis unless proved otherwise. This sometimes leads to unwarranted delay in correct diagnosis and management if there is ignorance regarding other rarer etiologies. Rosai-Dorfman Disease (RDD) may present in the same manner and should always be kept on the back of the mind to help a...
متن کاملBilateral Cervical Lymphadenopathy - Need to Think Beyond Tuberculosis.
Rosai-Dorfman Disease (RDD) or sinus histiocytosis with massive lymhadenopathy (SHML) is a rare, benign proliferative disorder of histiocytes characterized by painless bilateral cervical lymph node enlargement though extranodal disease involving skin, respiratory system, central nervous system (CNS) etc may been in > two third of cases (1-3). With lack of widespread awareness about this entity,...
متن کاملCervical lymphadenopathy: what radiologists need to know
Metastatic cervical lymphadenopathy is a common problem in head and neck oncology. The appropriate management of the cervical lymph nodes requires a good understanding of the incidence, patterns, and prognostic implications of nodal metastasis. This paper correlates the anatomical and the simplified level classification systems of cervical lymph nodes, examines the clinical significance of noda...
متن کاملExtrapulmonary tuberculosis in patients with cervical lymphadenopathy.
OBJECTIVE To determine the frequency of tuberculous lymphadenitis in patients with cervical lymphadenopathy, and to determine the association of tuberculous lymphadenitis with body mass index. METHODS The descriptive cross-sectional study was conducted at the Department of ear, nose, throat (ENT), Head and Neck Surgery, Post Graduate Medical Institute, Lady Reading Hospital Peshawar, from Mar...
متن کاملAcute cervical lymphadenopathy.
To the Editor: Acute cervical lymphadenopathy has not been reported as a symptom of Myco-bacterium genavense infection. In June 1994, a 32-year-old injecting drug user, who had been monitored since 1987 for human immunodeficiency virus (HIV) infection at the outpatient clinic of the Infectious Disease Institute, Perugia, Italy, was admitted to a hospital with fever (39°C) and progressive swelli...
متن کاملPediatric cervical lymphadenopathy.
This article provides an overview for evaluation and management of the pediatric patient with cervical lymphadenopathy. A thorough history and physical examination are crucial in developing a differential diagnosis for these patients. Although infectious causes of lymphadenopathy are more prevalent in the pediatric population compared with adults, neoplasms should also be considered. Judicious ...
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عنوان ژورنال:
iranian journal of pathologyجلد ۱۱، شماره ۳، صفحات ۲۹۸-۳۰۰
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