Investigation of a Peculiar Case of Childhood Lymphadenopathy.
HCA Healthc J Med
; 1(4): 217-221, 2020.
Article
em En
| MEDLINE
| ID: mdl-37425671
ABSTRACT
Introduction:
Lymphadenopathy is a common physical finding often associated with an infectious etiology. We present a case of a patient with generalized cervical and supraclavicular lymphadenopathy diagnosed with a rare malignancy. Health care providers should be aware of some uncommon historical or physical examination findings that warrant further investigation. ClinicalFindings:
A 16-year-old female presented to the emergency department with 3 days of a fever, congestion and sore throat with swelling around the jaw. Her physical examination findings included bilateral mandibular swelling and generalized cervical lymphadenopathy with palpable supraclavicular lymph nodes.Outcomes:
Complete blood count showed pancytopenia with a white blood cell count of 4.4 × 10e3/uL, hemoglobin of 10.8 g/dL and platelets of 87 × 10e3/uL. CT scan of the neck with IV contrast revealed extensive cervical and mediastinal lymphadenopathy with suspicion of lymphoma. Biopsy results diagnosed a rare form of a hematologic malignancy called blastic plasmacytoid dendritic cell neoplasm.Conclusions:
The presence of supraclavicular lymphadenopathy should raise concern for non-infectious etiologies, such as malignant processes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
HCA Healthc J Med
Ano de publicação:
2020
Tipo de documento:
Article