Chronic Generalized Lymphadenopathy in a Child-Progressive Transformation of Germinal Centers (PTGC).

Chronic Generalized Lymphadenopathy in a Child-Progressive Transformation of Germinal Centers (PTGC).
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生发中心儿童促进转化(PTGC)的慢性广义淋巴结肿大。

DOI:
10.3390/children9020214
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发表时间:
2022-02-06
期刊:
Children (Basel, Switzerland)
影响因子:
--
通讯作者:
Gowda C
Gowda C
中科院分区:
其他
文献类型:
--
作者:
Wills C;Mercer K;Malysz J;Rivera Galvis L;Gowda C

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背景:淋巴结肿大是儿科医生办公室的常见症状。继发于感染性、炎症性和免疫紊乱的反应性淋巴结病的诊断需要临床调查,包括彻底的病史、体格检查、影像检查,有时还需要对淋巴结进行活检。在这里,我们讨论了一种罕见的广泛性、慢性、肿大和消退的淋巴结病,诊断为生发中心进行性转化(PTGC),以及八年随访期间的病程。讨论:生发中心进行性转化(PTGC)被认为是一种良性疾病,但在非常年幼的儿童中广泛复发的全身性淋巴结病之前还没有报道。这一病例证明了根据新的体征和症状进行长期随访和量身定做诊断工作和管理的重要性。在这里,我们重点讨论常见临床表现的复杂表现的临床考虑和处理。
Background: Enlarged lymph nodes are a common complaint in a Pediatrician’s office. Diagnosis of reactive lymphadenopathy secondary to infectious, inflammatory, immune dysregulation calls for clinical investigation, including a thorough history, physical exam, imaging, and less often, a biopsy of the lymph node. Here we discuss a rare presentation of extensive generalized, chronic, waxing, and waning lymphadenopathy diagnosed as Progressive Transformation of Germinal Centers (PTGC) and the course of illness over eight years follow up period. Discussion: Progressive Transformation of Germinal Centers (PTGC) is considered a benign condition, but extensive recurrent generalized lymphadenopathy in a very young child has not been reported before. This case demonstrates the importance of long-term follow-up and tailoring the diagnostic work-up and management based on new signs and symptoms. Here we focus on the clinical considerations and management of complex presentation of a common clinical finding.
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