Grossman M, Shiramizu B
University of California, San Francisco.
Curr Opin Pediatr. 1994 Feb;6(1):68-76. doi: 10.1097/00008480-199402000-00012.
This chapter provides an approach to the evaluation of lymphadenopathy in children. Malignant etiologies, including HIV-associated malignancies are reviewed. In discussing infectious agents or causes of lymphadenopathy, particular emphasis is placed on chronic regional lymphadenopathy with a focus on new advances in cat-scratch disease and tuberculous and non-tuberculous mycobacterial lymphadenitis. After a suggested preliminary set of laboratory tests, biopsy is often necessary both for histologic and cultural investigation. Therapy must be specific and must follow an accurate diagnosis.
本章介绍了评估儿童淋巴结病的方法。对包括与HIV相关的恶性肿瘤在内的恶性病因进行了综述。在讨论淋巴结病的感染因子或病因时,特别强调了慢性局部淋巴结病,重点是猫抓病、结核性和非结核性分枝杆菌淋巴结炎的新进展。在建议进行一组初步实验室检查后,活检通常对于组织学和培养研究都是必要的。治疗必须具有针对性,且必须基于准确的诊断。