What Is Systemic Lymphadenopathy

Systemic or local lymphadenopathy is a pathological condition. Normal people can palpable lymph nodes in the groin, submandibular and other parts, but soft texture, smooth surface, no tenderness, can move, generally no more than 0.5-1.0 cm in size; Palpation of lymph nodes elsewhere in the body is abnormal. When judging the nature of lymphadenopathy, attention should be paid to the location, number, size, hardness, range of motion, tenderness, fluctuation, fistula, and burning, redness and swelling of the surface of the lymph node. It is more important to observe the dynamic changes of lymph nodes. Symptoms · Accompanied by acute fever. · The lymph nodes have been swollen for a long time, and the lymph nodes are adhered to each other. The local skin has no redness, swelling, heat and pain, and the size of the lymph nodes does not change significantly. · Patients with enlarged lymph nodes in the subjaw, subchin and neck and chronic infectious lesions in the mouth and throat should go to the hospital for diagnosis and treatment, which may be chronic non-specific lymphadenitis. · Single or multiple bilateral cervical lymph node enlargement, adhesion fixation, fluctuation, ulceration or fistula, scar after healing, most common in children and young people, low fever, night sweats, emasculation should be treated in hospital, may be neck lymph node tuberculosis. · Enlarged and tender inguinal lymph nodes, "red line" from top to bottom along the inner thigh skin, local skin burning, redness, swelling, tenderness, and late rubber swelling of the lower extremities should be checked and diagnosed in the hospital to be alert for possible filariasis. · Progressive lymphadenopathy of one or both sides of the neck and axilla, hard as rubber in quality, often accompanied by fever, should go to the hospital for examination and diagnosis, alert may be malignant lymphoma. · It is characterized by high fever, progressive anemia, bleeding, enlargement of liver, spleen and lymph nodes, bone and joint pain, and should be checked and diagnosed in the hospital. It may be leukemia. · Over middle age, painless progressive lymphadenopathy (neck, axilla, groin) with unknown cause, hard, non-tender, normal skin, lymph nodes adhered to each other and to the base, and non-mobile masses should be checked and diagnosed in the hospital, and be alert to the possible malignant metastasis of local regional lymph nodes. · Fever, rash and lymphadenopathy after vaccination, use of biological products or special drugs (hydrazine, methyldopa, isoniazid, phenytoin, etc.) should be treated in hospital, which may be reactive lymphadenopathy. · Inguinal lymphadenopathy accompanied by urogenital mucosal lesions (papules, nodules, erosions, ulcers, etc.) should be treated in a hospital, which may be gonorrhea, syphilis, condyloma acuminatum, genital herpes. · It is characterized by fever, persistent generalized lymphadenopathy, progressive weight loss, red-purple nodules under the skin, etc., and should be checked and diagnosed in the hospital. It may be the acquired immune deficiency syndrome (AIDS). First visit Department: Pain or tenderness, fever, rash, linear skin flushing -- first visit department of infection or internal medicine. Accompanied by low fever, weight loss, night sweats - the first infection or infection department; Accompanied by fever, anemia, hemorrhage and hepatosplenomegaly -- first visit hematology department; Epistaxis, nasal obstruction, headache, hearing loss -- the first diagnosis of the department of neurology; Local single painless lymphadenopathy -- first general surgery; Inguinal lymphadenopathy with lower extremity ulceration -- first general surgery; This was accompanied by progressive lymphadenopathy without obvious signs of infection. Clinical examination: 1. Blood routine; 2. 2. Tuberculin test; 3. Tumor marker detection; 4. Painless lymph node biopsy; 5. Bone marrow test; 6. Imaging (X ray, B ultrasound, CT) examination, etc.

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