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LYMPHADENOPATHY APPROACH OF DIAGNOSIS AND MANAGEMENT

Shaykhah Ali Almalki , Nora Saleh Alsedrani , Assel Kabbani , Esraa Hamza Abtini, Majd Taha Alsaadi , Hadeel Taha Alsaadi, Omar Asiri

We aimed by this review, to discuss the recent concepts in the diagnosis and management modalities of Lymphadenopathy, also overviewing the clinical features of this which will support the diagnostic procedures. Computerized search was performed using following databases; CENTRAL, PUBMED, MEDLINE, and EMBASE. for all published studies concerning Lymphadenopathy up to December, 2018., using the term ‘‘Lymphadenopathy”, and searched PubMed, using the Medical Subject Heading (MeSH) term ‘Lymphadenopathy’’ and free-text words such “diagnosis”, “management”, Clinical features” and “treatment”. Lymphadenopathy is benign and self-limited in most patients. Etiologies include malignancy, infection, and autoimmune problems, as well as drugs and iatrogenic reasons. The history and physical exam alone typically identify the root cause of lymphadenopathy. When the cause is unidentified, lymphadenopathy should be categorized as localized or generalised. Patients with localized lymphadenopathy ought to be evaluated for etiologies typically related to the region involved according to lymphatic drainage patterns. Generalized lymphadenopathy, defined as 2 or even more involved areas, usually suggests underlying systemic disease. Danger factors for malignancy include age older than 40 years, male white race, supraclavicular area of the nodes, and existence of systemic signs such as fever, night sweats, and inexplicable weight loss.

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