Lymphadenopathy

Question 1

What is Kikuchi-Fujimoto syndrome?

Answer 1

Histiocytic necrotising lymphadenitis is a benign condition presenting with lymphadenopathy, mild fever, and occasionally a rash or other systemic symptoms. Histiocytic necrotising lymphadenitis is also known as Kikuchi disease, Kikuchi–Fujimoto disease, and histiocytic necrotising lymphadenopathy.

Question 2

Which lymph node enlargement is most worrisome?

Answer 2

Abdomen and lower neck

Question 3

What is cervical lymphadenopathy indicative of?

Answer 3

Strep throat

Pharyngitis

Tonsilitis

Infective mono

Question 4

What drugs cause lymph node enlargements?

Answer 4

Anticonvulsants like carbamazepine and phenytoin

Question 5

What are B symptoms?

Answer 5

fevers > 38C - drenching night sweats - unexplained loss of more than 10% of body weight

Question 6

What condition is affected by alcohol and drinking causing lymph pain?

Answer 6

Hodkins lymphoma

Question 7

What are the features of superior vena cava syndrome?

Answer 7

headache  upper thorax/arms congestion  turgor of jugular veins  dilated superficial chest vein (‘garland’-shape: early sign)

Question 8

Tatoos can cause lymphadenopathy. T or F?

Answer 8

Tattooing adds stress on the lymphatic system because 90% of the dye goes into the lymph nodes and stays there. The swelling of lymphedema distorts the tattooed image. The resulting image may be very unsatisfactory.

Question 9

What does this show?

Answer 9

Epitrochlear lymphadenopathy

infectious mononucleosis, sarcoidosis, syphilis, tularemia, exotic infections

Question 10

What is another name for Kikuchi-Fujimoto?

Answer 10

necrotising histiocytic lymphadenitis

Question 11

What is important in the treatment of lymphadenopathy?

Answer 11

Lymph node enlargement of unknown origin must not be treated Lymph node enlargement of unknown origin must be diagnosed