Lymphadenopathy: Differential Diagnosis

June 12th, 2008 by admin

Generalized lymphadenopathy (e.g., cervical, supraclavicular, axillary, and inguinal lymphadenopathy; hepatomegaly; splenomeg ly)

      Infection
Tuberculosis
Secondary syphilis

      Mononucleosis
HIV/AIDS
Kawasaki’s syndrome

      Typhoid fever

      Hypersensitivity reactions

      Serum sickness

      Drugs (e.g., hydantoin, phenytoin, hydralazine, allopurinol, primidone)

      Lymphoma

      Leukemia

      Connective tissue disorders (e.g., SLE, rheumatoid arthritis)

      Sarcoidosis

      Metastatic cancer [especially with left supraclavicular lymphadenopathy (Virchow’s node) associated with abdominal malignancies, including stomach, pancreas, gallbladder, testis/ovary, kidney, and prostate cancers]

      Endocrine disorders (e.g., hyperthyroidism, hypoadrenalism)

      Amyloidosis

      Castleman’s syndrome (angiofollicular lymph node hyperplasia)

      Kikuchi’s disease

      Localized lymphadenopathy

      Reactive hyperplasia, local inflammation (e.g., dermatitis, vaccination, trauma)

      Infection
Viral: Mononucleosis, CMV, HIV, rubella, mumps

      Bacterial: Streptococcus, tuberculosis, salmonella, cat-scratch disease (due to Bartonella henselae); gonorrhea, Chlamydia, and other sexually transmitted diseases (inguinal)

      Parasitic: Malaria, toxoplasmosis

      Fungal: Histoplasmosis, coccidioidomycosis

      Lymphoma or metastatic disease (e.g. head and neck squamous cell cancer leads to cervical lymphadenopathy)

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