ÇOCUKLUK ÇAĞI PERİFERİK LENFADENOPATİLERİ

Year 2009, Volume: 10 Issue: 1, 45 - 52, 01.04.2009

Emre Çeçen

Abstract

Lenfadenopatilerin tanımlanması ve lenfadenopatiye yaklaşım pediatri pratiğinde sık tartışılan konulardanbirisidir. Hasta veya sağlıklı çocuklarda lenf bezlerinin değerlendirilmesi, genel fizik incelemenin önemli birparçasıdır. Lenfadenopati, lenf bezlerinin boyut, sayı veya kıvam özelliklerinde anormallik göstermesidir vediğer bulgu ve semptomların bir parçası olabileceği gibi, tek bulgu veya ana yakınma olabilir. Ayırıcı tanıdabirçok hastalık yer alır ve doğru yaklaşımda zorluk çekilebilir. Genellikle kendini sınırlayıcı, beniyn bir durumolabilmesine karşın altta yatan ciddi sistemik bir hastalığın veya maliynitenin ipucu olabilir. Bu makalenin amacılenfadenopati tanımı, bölgesel ve yaygın lenfadenopatinin ayırıcı tanısı, lenfadenopatili hastanındeğerlendirilmesinde sistematik yaklaşım, acil biyopsi yapılması gereken durumlar gibi önemli noktalarıngözden geçirilmesidir

Keywords

Çocuk, lenfadenopati, lenfadenit

Peripheral Lymphadenopathy in Childhood

Abstract

The assessment of lymphadenopathy in children is a common diagnostic problemin pediatrics. Examining the lymph nodes is an important aspect of the general physical examination of both well and ill children and adolescents. The term “lymphadenopathy” refers to lymph nodes that are abnormal in size, number, or consistency. The majority of children with lymphadenopathy will have a benign, self-limited process. Conversely, the presence of lymphadenopathy can be a clue to a serious underlying systemic disease or malignancy, and the differential diagnosis of lymphadenopathy can be broad. The aim of this article is define lymphadenopathy, discuss the differential diagnosis of localized and generalized lymphadenopathy develop a systematic approach to the evaluation and management of lymphadenopathy, recognize worrisome features of lymphadenopathythat shouldprompt a referral fora biopsy.

Keywords

Children, lymphadenopathy, lymphadenithis

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