| Clinical Observation of Mesenteric Lymphadenitis in Children |
|
Chul Han Park1, Dong Hoon Lee1, Hye Lim Kim1, Ji Min Park1, Jin Bok Hwang1, Heung Sik Kim1, Hee Jung Lee2 |
1Department of Pediatrics, School of Medicine, Keimyung University, Taegu, Korea
2Department of Radiology, School of Medicine, Keimyung University, Taegu, Korea |
| 소아 장간막 림프절염의 임상적 고찰 |
|
박철한1, 이동훈1, 김혜림1, 박지민1, 황진복1, 김흥식1, 이희정2 |
1계명대학교 의과대학 소아과학교실
2계명대학교 의과대학 진단방사선과학교실 |
Correspondence:
Heung Sik Kim, Email: kimhs@dsmc.or.kr
|
|
|
|
|
| Abstract |
Purpose
: Mesenteric lymphadenitis is classified into acute and chronic, specific and nonspecific types according to clinical aspect and causative disease. We under took this study to find out clinical aspects, associated diseases and hospital course of mesenteric lymphadenitis in children.
Methods
: We examined 98 children aged from 18 months to 14 years who visited Dongsan Medical Center for abdominal pain between March 1998 and May 2002. Ultrasonography was performed and medical records were analysed. The specific group had a causative disease, and the chronic group had persistent clinical symptom over three months.
Results
: Symptoms were chronic in 4% of the patients and acute in 96%. Most of the patients were in oen to five years of age. In the acute group, abdominal pain, vomiting, fever and diarrhea were shown commonly in order, and average WBC count was normal. Gastroduodenitis, tonsillitis, pneumonia and enterocolitis were accompanied in the acute specific group. Ultrasonograms of abdomens showed lymph node enlargement. In the acute group, symptoms were improved within one week. Lymph node enlargement was noted on follow up ultrasonograms in the chronic group. Gastrocolonoscopy of chronic group showed one case of H. pylori positive duodenitis, one case of ulcerative colitis, and two cases of Crohn's disease.
Conclusion
: There was no statistical significance in clinical aspect, laboratory findings and hospital course between the patients with specific etiology and nonspecific etiology. Symptoms improved within one week in patients in the acute group. If abdominal pain persists, additional examinations such as endoscopic biopsy, stool cultures, or small bowel studies should be performed to determine the underlying cause. |
| Key Words:
Mesenteric lymphadenitis, Children |
|
PDF Links
Download Citation
