It is well known that inflammation of the throat lymph nodes and swollen lymph nodes are very common conditions. They can occur in people of any age group and can be seen in a variety of diseases, both benign and malignant. Therefore, it is very important to pay attention to the causes of swollen lymph nodes and seek medical treatment and diagnosis in time to avoid misdiagnosis or missed diagnosis. So what is throat lymphadenitis? What are the symptoms of throat lymphadenitis and what are the dangers of this disease? Chronic lymphadenitis Most of them have obvious infection foci, and often localized lymph node enlargement, pain and tenderness. The diameter usually does not exceed 2 to 3 cm, and will shrink after anti-inflammatory treatment. Inguinal lymphadenopathy, especially long-standing, unchanged, flat lymphadenopathy, is usually of no significance. However, unexplained enlargement of the cervical and supraclavicular lymph nodes indicates a systemic lymphoproliferative disease and should be taken seriously and further examined and confirmed. Tuberculous lymphadenitis Symptoms include fever, sweating, fatigue, and increased erythrocyte sedimentation rate, which are more common in young and middle-aged people. It is often accompanied by pulmonary tuberculosis. The texture of the lymph nodes is uneven, some parts are lighter (caseous change), some parts are harder (fibrosis or calcification), and they are adhered to each other and the skin, so their mobility is poor. These patients have positive tuberculin tests and blood tuberculosis antibodies. Malignant lymphoma It can also be seen in any age group. The lymph node enlargement is often painless and progressive, ranging in size from soybean to jujube, and of medium hardness. Generally, there is no adhesion to the skin, and they do not fuse with each other in the early and middle stages, so they are movable. In the later stages, the lymph nodes may grow very large or fuse into large masses with a diameter of more than 20 cm, invading the skin and taking a long time to heal after rupturing. In addition, it can invade the mediastinum, liver, spleen and other organs, including the lungs, digestive tract, bones, skin, breast, nervous system, etc. Diagnosis requires biopsy. Clinically, malignant lymphoma is often misdiagnosed. Among patients with superficial lymphadenopathy as the first symptom, 70% to 80% are diagnosed as lymphadenitis or lymphadenopathy tuberculosis at the initial visit, resulting in delayed treatment. Giant lymph node hyperplasia It is a rare disease that is easily misdiagnosed. It often manifests as unexplained lymphadenopathy, which mainly invades the chest cavity, most commonly the mediastinum, but can also invade the hilum and lungs. Other sites of involvement include the neck, retroperitoneum, pelvis, axilla, and soft tissue. It is often misdiagnosed as thymoma, plasmacytoma, malignant lymphoma, etc. Understanding the pathology and clinical manifestations of this disease is extremely important for early diagnosis. Pseudolymphoma It often occurs in areas outside the lymph nodes, such as pseudolymphoma of the eye sockets and stomach and lymphatic polyps of the digestive tract, all of which can form lumps. It is generally considered to be a reactive hyperplasia caused by inflammation. Lymph node metastasis The lymph nodes are often hard and uneven in texture, and the primary lesion can be found. Rarely, there is generalized lymphadenopathy. Acute leukemia and chronic lymphocytic leukemia Lymph node enlargement is also common, especially in acute lymphocytic leukemia, which is common in children. The clinical onset is acute and is often accompanied by fever, bleeding, enlarged liver and spleen, sternal tenderness, etc. Hematological and bone marrow puncture examinations can confirm the diagnosis and differentiation. Sarcoidosis It is rare in my country and often invades both hilums of the lungs in a radiating pattern, accompanied by long-term low-grade fever. Lymph nodes throughout the body may swell, especially those in front and behind the ears, under the jaw, and beside the trachea. It is difficult to differentiate it from malignant lymphoma clinically. Infectious mononucleosis is more common in young and middle-aged men and is caused by the Epstein-Barr virus. However, patients are usually in good general condition and may have fever and systemic lymphadenopathy, as well as mild spleen enlargement. The presence of atypical lymphocytes in the peripheral blood and a positive heterophile agglutination test can confirm the diagnosis. Serum sickness is a disease that occurs after patients use serum products (tetanus antitoxin, rabies vaccine, etc.). In a small number of patients, lymphadenopathy is the first clinical symptom. However, the injection site and supratrochlear lymph nodes are usually the first to swell. The diagnosis can be made based on injection history and fever, rash, eosinophilia, etc. Swollen lymph nodes are very common. We hope that the above 10 causes of the disease can provide some inspiration for everyone to seek medical treatment, diagnose and identify them in time so as to get timely and effective treatment. You may have had this experience before: when your foot gets a boil or becomes inflamed after an injury, you may also feel pain in the groin. If you touch carefully, you will feel one or several "small bumps" the size of beans under the skin, which are hard and painful. These are lymph nodes. When bacteria enter your blood vessels from an injury, the lymph nodes, the "enemy sentinels," first fight back against the bacteria to prevent the "enemy" from going deeper. As each lymphocyte "eats" a large number of bacteria, its "belly" becomes bigger and bigger, and the entire lymph node becomes swollen and painful. Therefore, lymph nodes are important immune organs in the body. Lymph nodes are also an alarm device in the human body. Swollen lymph nodes may be an external manifestation of a certain disease. Bacterial infection: Acute inflammation in the mouth, face, etc. often causes swelling of the mandibular lymph nodes. The swollen lymph nodes are soft in texture and have good mobility. Generally, they will gradually return to normal as the inflammation disappears. Viral infections: measles, infectious mononucleosis, etc. can cause swollen lymph nodes. Sometimes lymphadenopathy has important diagnostic value, such as rubella, which often causes occipital lymphadenopathy. Lymph node tuberculosis: It is most common in the form of enlarged lymph nodes in the neck, some of which may rupture and some may not. It is sometimes difficult to distinguish it from lymphoma clinically. The diagnostic method is to perform lymph node puncture, smear and biopsy multiple times and in multiple locations to find the primary lesion of tuberculosis. Lymph node metastasis: This type of lymph node is very hard, non-tender, and immobile. Especially in patients with gastric cancer and esophageal cancer, small enlarged lymph nodes above the clavicle can be felt. Breast cancer patients should frequently palpate the axillary lymph nodes to determine whether the tumor has metastasized. Leukemia: The lymph node enlargement of this disease is systemic, but is most obvious in the neck, armpits, and groin. In addition to swollen lymph nodes, patients also have anemia, persistent fever, and the appearance of a large number of immature cells in the blood and bone marrow. Lymphoma: Swollen lymph nodes are most common in the neck. Lymphoma is a tumor that originates in lymph nodes or lymphatic tissue, and there are also some lesions outside the lymph nodes, such as damage to the tonsils, nasopharynx, gastrointestinal tract, spleen, etc. Enlarged lymph nodes may also occur in connective tissue diseases such as lupus erythematosus. Another example is allergic reaction diseases and poisonous insect stings. Therefore, swollen lymph nodes should not be ignored, especially if you find that the lymph nodes are persistently swollen, you should seek medical treatment as soon as possible. Lymph node enlargement can be divided into two types: painful and non-painful. Painful swelling is mostly seen in acute suppurative infections and can be eliminated if the infected area is treated correctly. Diseases that cause painless swelling are often stubborn and difficult to detect, and can be very harmful. It is generally seen in tuberculosis infection, lymphoma, tumor metastasis to lymph nodes, blood diseases (such as leukemia), etc. Lymph nodes are distributed throughout the body and can only be touched in specific, relatively superficial locations. The easiest areas to feel are the submandibular area, neck, supraclavicular fossa, axilla, and groin. When women suffer from breast cancer, they can feel swollen lymph nodes around the breasts and armpits. The correct way to touch is to put your index and middle fingers together and touch the above-mentioned parts up, down, left and right. If you feel round, oval, or string-shaped lymph nodes under the skin, or the size of an egg or even larger, you should go to a regular hospital and ask a doctor for diagnosis immediately. The lymphatic system is the body's natural defense against infection and toxins. Groups of superficial lymph nodes are found in the neck, armpits, groin, behind the knees, and in front and behind the ears. The most common cause of swollen lymph nodes in children is infection. The location of the swelling depends on the location of the infection. Throat and ear infections may cause swollen lymph nodes in the neck. Head infections can cause swollen lymph nodes behind the ears. Hand or arm infections can cause swollen lymph nodes under the armpits. Foot and leg infections can cause swollen lymph nodes in the groin. The most common symptom in children is swollen lymph nodes in the neck. Mothers can easily notice this part of their children and will feel at ease only after taking their children to the doctor for examination. For most people, swollen lymph nodes are caused by a sore throat, cold, tooth infection (abscess), ear infection, or insect bites. However, if the swollen lymph nodes appear in the middle of the front of the neck or just above the collarbone, you Causes other than infection must be considered, such as tumors, cysts, or thyroid disorders. When most mothers see swollen lymph nodes in their children's neck, the first thing they think of is a tumor. This is a natural reaction. Tumors are indeed one of the causes of swollen lymph nodes in children, but infection is a more common cause. In this regard, blood and urine tests, x-ray examinations, skin tests, and biopsy examinations can confirm the doctor's diagnosis. |
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