With lack of widespread awareness about this entity, misdiagnosis of RDD as more common ones such as tuberculosis is a common phenomenon. Therefore its revision would seem worthwhile with this report. A nineteen year old boy presented with multiple cervical and submandibular lymphadenopathy of three months duration preceded by low grade fever of 7 days. Clinical examination showed multiple, enlarged, non-matted, non-tender, discrete, mobile bilateral, cervical and submandibular lymph nodes ranging in size from 1.
Lymph Node Exam
Unexplained Lymphadenopathy: Evaluation and Differential Diagnosis - American Family Physician
Lymph nodes are ovoid or kidney-shaped organs that are widely spread throughout the body. They are linked by lymphatic vessels as part of the circulatory system. Lymph nodes are major sites of B and T lymphocytes and other white blood cells, making them vital parts of the immune system. Finding swollen occipital lymph nodes can indicate you have an illness or infection. This may occur in the case of a viral or bacterial infection. The location of a swollen lymph node often serves as a clue for doctors as to what kind of infection you may be suffering from.
Swollen Lymph Glands
Involvement of the lymph nodes in multiple conditions is accompanied by a correspondingly large number of available diagnostic procedures. In the interests of time, patient wellbeing and cost, a careful choice of these must be made to permit appropriate treatment. The basis of diagnostic decisions is a detailed anamnesis and clinical examination. Sonography also plays an important role in differential diagnosis of lymph node swelling in children and is useful in answering one of the critical diagnostic questions: is there a suspicion of malignancy?
Lymphadenopathy is benign and self-limited in most patients. Etiologies include malignancy, infection, and autoimmune disorders, as well as medications and iatrogenic causes. The history and physical examination alone usually identify the cause of lymphadenopathy. When the cause is unknown, lymphadenopathy should be classified as localized or generalized.