Evaluation of Peripheral lymphadenopathy in Children in Greater Gwalior Region

Dr. Jyoti Priya darshini Shrivastava; Dr. Savita Bharat; Dr. Anil Meena; Dr. Bharat Jain

Volume : V, Issue : VIII, August - 2015

Evaluation of Peripheral lymphadenopathy in Children in Greater Gwalior Region

Dr. Jyoti Priya Darshini Shrivastava, Dr. Savita Bharat, Dr. Anil Meena, Dr. Bharat Jain

Abstract :

Peripheral lymph nodes, located in the subcutaneous tissue ,clean antigen from extracellular fluid. Peripheral lymphadenopathy (LAP) is frequently due to local or systemic, benign, self–limited, infectious disease. However, it could be a manifestation of underlying malignancy . Seventy five percent of all lymphadenopathies (LAPs) are localized, with more than 50% seen in head and neck area. Based on different geographical areas, the etiology is varied. For example in tropical areas, tuberculosis is main benign cause of lymphadenopathy (LAP) in adults and children. Complete history taking physical examination are mandatory for diagnosis; however laboratory tests, imaging diagnostic methods and tissue samplings are the next steps. Tissue diagnosis by fine needle aspiration biopsy Or excisional biopsy is the gold standard evaluation for lymphadenopathy (LAP) Human body has about 600 lymph nodes 1. A normal size of lymph node is usually less than 1 cm in diameter. Of course, there are exceptional in lymph nodes in different regions and different ages have different sizes. For example, some authors have proposed that an inguinal lymph node size up to 1.5 cm should be considered normal, while the normal range for the epitrochlear nodes is 0.5 cm2. In general, normal lymph node are larger in children (age 2– 10 year), in whom a size of more than 2cm is suggestive of malignancy or a granulomatous disease3.