The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children
Introduction: Many studies have been conducted on the role of ultrasonography in differentiating benign diseases that cause lymphadenopathy (LAP) from malignant diseases. However, there are no studies to distinguish LAP due to reactive etiologies from other benign infectious causes. In this study, t...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-04-01
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| Series: | Güncel Pediatri |
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| Online Access: | https://www.guncelpediatri.com/articles/the-role-of-ultrasonography-in-the-discrimination-of-reactive-lymphadenopathy-in-children/doi/jcp.2024.81567 |
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| author | Elif Şeker Ekici Mustafa Büyükavcı Yasemin Gündüz Mehmet Fatih Orhan Bahri Elmas |
| author_facet | Elif Şeker Ekici Mustafa Büyükavcı Yasemin Gündüz Mehmet Fatih Orhan Bahri Elmas |
| author_sort | Elif Şeker Ekici |
| collection | DOAJ |
| description | Introduction: Many studies have been conducted on the role of ultrasonography in differentiating benign diseases that cause lymphadenopathy (LAP) from malignant diseases. However, there are no studies to distinguish LAP due to reactive etiologies from other benign infectious causes. In this study, the role of ultrasonography in the differentiation of benign LAPs was examined.
Materials and Methods: This study prospectively evaluated 165 children with LAP aged 0-18 years. According to their clinical features, benign LAPs were grouped into viral and bacterial lymphadenitis, and reactive LAPs. Ultrasonographic characteristics of each group were assessed.
Results: While loss of hilar echogenicity from ultrasonographic findings of LAPs was significant in differentiating reactive LAP from viral lymphadenitis, border irregularity was more favorable for bacterial lymphadenitis.
Conclusion: Differentiating benign LAPs is important in the decision to prescribe antibiotics. In addition to the clinical features, ultrasonographic features can also be used to make this distinction. |
| format | Article |
| id | doaj-art-f1fc7a3df5354c9bb11f2dcd1b53e8d1 |
| institution | Kabale University |
| issn | 1304-9054 1308-6308 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Güncel Pediatri |
| spelling | doaj-art-f1fc7a3df5354c9bb11f2dcd1b53e8d12024-12-12T06:10:55ZengGalenos Publishing HouseGüncel Pediatri1304-90541308-63082024-04-01221394410.4274/jcp.2024.81567The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in ChildrenElif Şeker Ekici0https://orcid.org/0000-0002-2975-6616Mustafa Büyükavcı1https://orcid.org/0000-0002-9054-3134Yasemin Gündüz2https://orcid.org/0000-0002-8373-4792Mehmet Fatih Orhan3https://orcid.org/0000-0001-8081-6760Bahri Elmas4https://orcid.org/0000-0001-9034-6109Sakarya University Training and Research Hospital, Clinic of Pediatrics, Sakarya, TurkeySakarya University Training and Research Hospital, Clinic of Pediatrics, Division of Hematology and Oncology, Sakarya, TurkeySakarya University Training and Research Hospital, Clinic of Radiology, Sakarya, TurkeySakarya University Training and Research Hospital, Clinic of Pediatrics, Division of Hematology and Oncology, Sakarya, TurkeySakarya University Training and Research Hospital, Clinic of Pediatrics, Sakarya, TurkeyIntroduction: Many studies have been conducted on the role of ultrasonography in differentiating benign diseases that cause lymphadenopathy (LAP) from malignant diseases. However, there are no studies to distinguish LAP due to reactive etiologies from other benign infectious causes. In this study, the role of ultrasonography in the differentiation of benign LAPs was examined. Materials and Methods: This study prospectively evaluated 165 children with LAP aged 0-18 years. According to their clinical features, benign LAPs were grouped into viral and bacterial lymphadenitis, and reactive LAPs. Ultrasonographic characteristics of each group were assessed. Results: While loss of hilar echogenicity from ultrasonographic findings of LAPs was significant in differentiating reactive LAP from viral lymphadenitis, border irregularity was more favorable for bacterial lymphadenitis. Conclusion: Differentiating benign LAPs is important in the decision to prescribe antibiotics. In addition to the clinical features, ultrasonographic features can also be used to make this distinction.https://www.guncelpediatri.com/articles/the-role-of-ultrasonography-in-the-discrimination-of-reactive-lymphadenopathy-in-children/doi/jcp.2024.81567hilar echogenicitylymphadenitisperipheral lymphadenopathyultrasonographyreactive hyperplasia |
| spellingShingle | Elif Şeker Ekici Mustafa Büyükavcı Yasemin Gündüz Mehmet Fatih Orhan Bahri Elmas The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children Güncel Pediatri hilar echogenicity lymphadenitis peripheral lymphadenopathy ultrasonography reactive hyperplasia |
| title | The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children |
| title_full | The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children |
| title_fullStr | The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children |
| title_full_unstemmed | The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children |
| title_short | The Role of Ultrasonography in the Discrimination of Reactive Lymphadenopathy in Children |
| title_sort | role of ultrasonography in the discrimination of reactive lymphadenopathy in children |
| topic | hilar echogenicity lymphadenitis peripheral lymphadenopathy ultrasonography reactive hyperplasia |
| url | https://www.guncelpediatri.com/articles/the-role-of-ultrasonography-in-the-discrimination-of-reactive-lymphadenopathy-in-children/doi/jcp.2024.81567 |
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