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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