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Clinical significance and sonographic evolution of enlarged abdominal lymph nodes in children
Author(s) -
Quitadamo Paolo,
Giannetti Eleonora,
Andreozzi Marialuisa,
Mancusi Valeria,
Caprio Maria Grazia,
Brambilla Andrea,
Esposito Francesco,
Vallone Gianfranco,
Siani Paolo,
Staiano Annamaria
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14804
Subject(s) - medicine , lymph , abdominal pain , clinical significance , radiology , surgery , pathology
Abstract Aim Paediatric evidence about the clinical implications of enlarged abdominal lymph nodes (EALN) is not univocal. The main purpose of our study was to evaluate the clinical significance and the morphological evolution of enlarged abdominal nodes in children with recurrent abdominal pain. Methods All children with recurrent abdominal pain diagnosed with EALN were enrolled at the involved centres between September 2017 and June 2018. Number, size, localisation, shape and architecture of nodes were accurately recorded along with clinical and laboratory data at enrolment and after three and six months. Results A total of 38 children were enrolled. After the six‐month study period, 58% of them had lymph nodes reduced in size, 13% had unchanged lymph nodes, and 29% had lymph nodes increased in size. Overall, we observed a gradual, albeit slight reduction in the average size of enlarged nodes over the six‐month period. The extent of size changes was not correlated with any clinical parameter. Conclusion Our data suggest that EALN are a non‐specific finding, which is not worth a change in the diagnostic and therapeutic management of children with abdominal pain.

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