In abdomen, normal lymph nodes are typically less than 1 cm in diameter. Significant Lymphadenopathy: 1-2 cm: May be reactive, often due to infections or mild inflammatory processes. >2 cm: More likely to be pathologic and may warrant further investigation, especially if persistent or associated with systemic symptoms (e.g., fever, weight loss). >3 cm: Highly suspicious for malignancy (e.g., lymphoma, metastatic disease) or granulomatous diseases like tuberculosis.
If mesenteric lymphadenopathy is more than more than 2 cm child having recurrent abdominal pain without fever and weight loss. Is caseation necessary for tubercular lesions
Hi Mam, our 1 year old baby boy got swollen lymph nodes on left neck. It started with around 1 cm span 2 months back and now it is more than 6 cms. Baby is not having any symptoms like pain, cold, fever, or any other issues. He is doing normal but this swelling is increasing. Our pediatrician says "no need to worry, these are common and it may take 5 to 6 months for the cure". As per blood report, he has a low level of hemoglobin. What could be the reason for this swelling? Please suggest. I'm from Hyderabad, please let me know if you know any good pediatrician from Hyderabad or nearby areas. Thankyou
Mam what could be the diagnosis if a child age 4 yrs is having non significant generalized lymphadenopathy along with abdominal pain, vomiting and fever with normal infection markers kindly guide
Ite very helpful maam..thnks
Welcome
Good evening mam... Thanks for your efforts
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Can USG guided FNAC of mesenteric lymphadenopathy be done ?
Yes, USG guided FNAC of mesenteric lymph nodes can be done.
Very informative....
Glad it was helpful!
Please define significant abdominal/mesenteric lymphadenopathy
In abdomen, normal lymph nodes are typically less than 1 cm in diameter.
Significant Lymphadenopathy:
1-2 cm: May be reactive, often due to infections or mild inflammatory processes.
>2 cm: More likely to be pathologic and may warrant further investigation, especially if persistent or associated with systemic symptoms (e.g., fever, weight loss).
>3 cm: Highly suspicious for malignancy (e.g., lymphoma, metastatic disease) or granulomatous diseases like tuberculosis.
@learningpediatrics5347 thankyou so much
If mesenteric lymphadenopathy is more than more than 2 cm child having recurrent abdominal pain without fever and weight loss. Is caseation necessary for tubercular lesions
A definitive diagnosis of intestinal TB requires a combination of the following:
1. *Clinical Features*: Presence of symptoms such as:
- Abdominal pain
- Fever
- Weight loss
- Diarrhea or constipation
2. *Radiological Features*: Presence of:
- Mesenteric lymphadenopathy
- Intestinal thickening
- Ascites
- Intestinal obstruction on imaging studies (e.g., ultrasound, CT, MRI)
3. *Endoscopic Features*: Presence of:
- Ulcerations
- Narrowing
- Modular lesions on endoscopy
4. *Histopathological Features*: Presence of:
- Caseating granulomas
- Acid-fast bacilli
- Inflammatory infiltrate on histopathological examination
5. *Microbiological Confirmation*: Detection of Mycobacterium tuberculosis in intestinal tissue or lymph nodes
@learningpediatrics5347 thankyou so much
Hi Mam, our 1 year old baby boy got swollen lymph nodes on left neck. It started with around 1 cm span 2 months back and now it is more than 6 cms. Baby is not having any symptoms like pain, cold, fever, or any other issues. He is doing normal but this swelling is increasing.
Our pediatrician says "no need to worry, these are common and it may take 5 to 6 months for the cure". As per blood report, he has a low level of hemoglobin.
What could be the reason for this swelling? Please suggest.
I'm from Hyderabad, please let me know if you know any good pediatrician from Hyderabad or nearby areas.
Thankyou
Dear,
ESR and FNAC should be performed due to a significant enlargement in size, to rule out the possibility of a chronic infection.
@@learningpediatrics5347 Ok Mam, we will get those tests done right away. Thanks for your help.
Nice one
🙏
Thank u mam
Reference mam
Most welcome
It's a summery from various sources
Mam what could be the diagnosis if a child age 4 yrs is having non significant generalized lymphadenopathy along with abdominal pain, vomiting and fever with normal infection markers kindly guide
It can be because of any viral infection
Thanks for your valuable opinion mam
Thanks
Welcome
Good afternoon madam
🙏