THROAT - Cervical Lymphadenopathy

What are the causes of cervical lymphadenopathy?

Acute causes of cervical lymphadenopathy:

  • Acute bacterial lymph node inflammation.
  • Acute lymphatic leukemia
  • Acute infectious mononucleosis – Epstein Barr Virus

Chronic causes of cervical lymphadenopathy:

I. Inflammatory

  1. Non specific chronic pyogenic lymphadenitis
  2. Specific
    • Tuberculosis
    • Syphilis
    • Sarcoidosis
    • Brucellosis
    • Fungal disease

II. Neoplastic:

  1. Primary Lymphoma
  2. Lymphosarcoma
  3. Reticulum cell sarcoma
  4. Chronic lymphatic leukemia.
  5. Burkitt's lymphoma.

III. Autoimmune:

  1. Systemic lupus erythromatosis.
  2. Juvenile rheumatoid arthritis

Generalised causes of cervical lymphadenopathy:

  1. Inflammatory
    • Acute
      • Septicemia
      • Infectious Mononucleosis
    • Chronic
      • Tuberculosis
      • Syphilis
  2. Reticulosis
    1. Hodgkin's disease
    2. Lymphoarcoma.
    3. Lymphatic leukemia
  3. Sarcoidosis

Diagnosis of Lymph node swellings:

  1. Routine blood and X ray tests
  2. Fine Needle Aspitarion Ccytology
  3. Excion Biopsy of the swelling if required


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