FEATURES OF DIAGNOSIS OF PERIPHERAL LYMPHADENOPATHY IN CHILDREN

Abstract

Lymphadenopathy(LAP)isadiseasethat is accompanied by an increase in oneormoregroups of lymphnodes(LN).Thisdisease is observed in bothyoungchildrenandadultsandrequiresspecificmethods of diagnosisandtreatment.Thus,thisarticleexamines the cases of lymphadenopathy in peopleaged5-17yearsand the factorscausingit,studied in 210patients,andpresents the results of the study.11factorscausinglymphadenopathy in children are listedandspecificrecommendationsfortheirdiagnosis are given. The purpose of the study: to study the influence of factorsleadingto the occurrence of lymphadenopathy in children,and to study the specificaspects of itsdiagnosis.

Materials and methods of research: the work uses anamnestic, laboratory, instrumental, biochemical and statistical data. 210 children were examined to assess cases of lymphadenopathy in children. Inclusion criteria at the first stage: the medical records of the AGMI clinic and the MK MED clinic for 2020-2023 with lymphadenopathy aged 5 to 17 years were studied. The results of the examination of 210 children aged 5 to 17 years with a diagnosis of lymphadenopathy at the second stage were analyzed. Of these, 98 are girls, 112 are boys. Of these, children with localized knee had 178 (85%) with combined knee and 28 (13%) with generalized knee and 4 (2%) with generalized knee.

 Results and discussions. According to the degree of enlargement of lymph nodes in patients who participated in our observation, the following indicators were revealed: 18 with grade I LAP (8.5%), 94 with grade II LAP (44.7%), 97 with grade III LAP (46.1%). In only 1 (0.5%) cases, a giant crankshaft was observed. The number of children with nonspecific bacterial infection referred by an otorhinolaryngologist for medical examination: 26 (12.3%), the number of children with odontogenic nonspecific bacterial infection: 21 (10%), a total of 51 (24.2%) cases were detected. A specific bacterial LAP was found in 4 (1.9%) children. The number of children with LAP of viral etiology occupied slightly higher indicators, for example: cytomegalovirus (CMV) was registered in 14 (6.6%), gepres-in 18 (8.5%), lap as a result of concomitant appearance of CMV and herpes virus -in 47 (2.3%) cases, with AIDS (acquired immunodeficiency syndrome PAW damage was detected only in 1 (0.5%) cases.