A febrile child with a ‘bunch of grapes’ appearance on neck ultrasonography

2020 ◽  
pp. 004947552097594
Author(s):  
Pratap Kumar Patra ◽  
Aaqib Zaffar Banday ◽  
Naveen Bhagat ◽  
Pandiarajan Vignesh ◽  
Surjit Singh
Keyword(s):  
Kawasaki Disease ◽  
Lymph Nodes ◽  
Clinical Presentation ◽  
Febrile Child ◽  
Imaging Features ◽  
Cervical Lymph Nodes ◽  
Childhood Vasculitis ◽  
Neck Lymph Nodes

Kawasaki disease is a common childhood vasculitis. Fever and lymphadenopathy, at times, are the only clinical presentation of Kawasaki disease, which mimics infectious lymphadenitis, especially, when other features are yet to evolve. In such a scenario, ultrasonography of cervical lymph nodes can help to differentiate Kawasaki disease lymphadenitis from infectious lymphadenitis. We present one such patient who was initially diagnosed as having bacterial lymphadenitis; however, ultrasonography of the neck lymph nodes showed typical imaging features described with Kawasaki disease lymphadenitis.

Pathological observations concerning the cardiovascular lesions in Kawasaki disease

1991 ◽  
Vol 1 (3) ◽  
pp. 212-220 ◽  
Author(s):  
Shiro Naoe ◽  
Kazutoshi Shibuya ◽  
Kei Takahashi ◽  
Megumi Wakayama ◽  
Hirotake Masuda ◽  
...  
Keyword(s):  
Lymph Node ◽  
Kawasaki Disease ◽  
Lymph Nodes ◽  
Febrile Illness ◽  
Clinical Entity ◽  
Acute Febrile Illness ◽  
Mucocutaneous Lymph Node Syndrome ◽  
Cervical Lymph Nodes ◽  
In Infants And Children ◽  
Lymph Node Syndrome

In about 1967, a new clinical entity in infants and children was described in Japan. It was an acute febrile illness associated with engorgement of the conjunctivas, labial erythema, and swelling of the deep cervical lymph nodes without suppuration. This disease is usually called the acute febrile mucocutaneous lymph node syndrome or, more simply, Kawasaki disease.

scholarly journals Sinonasal Manifestation of Rosai-Dorfman Syndrome

2015 ◽  
Vol 8 (1) ◽  
pp. 43-45
Author(s):  
Kiran Mishra ◽  
Lakshmi Vaid ◽  
Vivek Gogia
Keyword(s):  
Lymph Nodes ◽  
Nasal Cavity ◽  
Clinical Presentation ◽  
Cervical Lymph Nodes ◽  
Radiographic Findings ◽  
Nasal Mass ◽  
Massive Lymphadenopathy ◽  
Sinonasal Mass ◽  
Rosai Dorfman Disease ◽  
Benign Course

ABSTRACT Sinus histiocytosis with massive lymphadenopathy (SHML) (also known as Rosai-Dorfman syndrome) is a rare, idiopathic, benign and self-limiting histiocytic proliferative disorder. It most commonly involves the cervical lymph nodes. The disease has a benign course and involvement of the nasal cavity as an extranodal site is exceptional. Here, we report a case of bilateral sinonasal mass with subsequent involvement of cervical lymph nodes in 22-year-old lady. Histological examination of the cervical lymph nodes and nasal mass biopsy demonstrated evidences of Rosai-Dorfman disease (RDD). The clinical presentation, histologic characteristics, radiographic findings and treatment of the disease are discussed. How to cite this article Vaid L, Jain N, Gogia V, Mishra K. Sinonasal Manifestation of Rosai-Dorfman Syndrome. Clin Rhinol An Int J 2015;8(1):43-45.

Tomoelastography for non-invasive detection of ameloblastoma and metastatic neck lymph nodes

2020 ◽  
Vol 13 (9) ◽  
pp. e235930
Author(s):  
Marie Beier ◽  
Ingolf Sack ◽  
Benedicta Beck-Broichsitter ◽  
Bernd Hamm ◽  
Stephan Rodrigo Marticorena Garcia
Keyword(s):  
Lymph Nodes ◽  
Wave Speed ◽  
Cervical Lymph Nodes ◽  
Shear Wave Speed ◽  
Non Invasive ◽  
Left Mandible ◽  
Complex Shear ◽  
Epithelial Tumour ◽  
Metastatic Involvement ◽  
Neck Lymph Nodes

Ameloblastoma is a benign epithelial tumour and the most common odontogenic tumour, accounting for about 18% of cases. We present a patient to illustrate the first use of tomoelastography for quantitatively mapping tissue stiffness (shear wave speed) and fluidity (loss angle of the complex shear modulus) in a metastasised ameloblastoma of the left mandible. Tomoelastography maps clearly depicted the extent of the tumour by abnormally high values of stiffness and fluidity (1.73±0.23 m/s, 1.18±0.08 rad) compared with normal values in the contralateral mandible (1.04±0.09 m/s, 0.93±0.12 rad). Abnormal stiffness also revealed metastatic involvement of the neck lymph nodes (1.30±0.03 m/s vs 0.86±0.01 m/s). Taken together, stiffness and fluidity measured by tomoelastography can sensitively detect the presence and extent of bone tumours and metastatic spread to cervical lymph nodes.

scholarly journals Mengenal gambaran ultrasound lesi jinak, ganas dan metastasis pada nodus limfa leher menggunakan ultrasonografi

2020 ◽  
Vol 3 (3) ◽  
pp. 21
Author(s):  
Lusi Epsilawati ◽  
Hendra Polii ◽  
Erna Herawati
Keyword(s):  
Literature Review ◽  
Lymph Nodes ◽  
Ultrasound Imaging ◽  
Cervical Lymph Nodes ◽  
Imaging Characteristic ◽  
Pathological Conditions ◽  
Different Characteristics ◽  
Neck Lymph Nodes

Objectives: This study is aimed to review the ultrasound imaging (USG) of benign, malignant and metastases lesions in cervical lymph nodes. Literature Review: This article was written based on some scientific literatures in which will explain the interpretation technique and imaging characteristic to distinguish between benign, malignancies and metastases lesions in cervical lymph nodes through ultrasound imaging. There are many pathological conditions may occur in cervical lymph nodes that can be analyzed in ultrasound. The signs of benign, malignant and metastases lesions in cervical lymph nodes, all may have different characteristics. Those characteristics could help the practitioners and radiologists to distinguish the lesions based on several assessment categories. Hopefully, the reader of this article could understand the technique to distinguish benign, malignant and metastases lesions in neck lymph nodes in ultrasound. Conclusion: Ultrasonography is the most commonly used modality for lymph nodes examination, although the accuracy cannot be trusted or guaranteed 100% but this modality always be used and becoming one of all choices. Through the ultrasound, it could be concluded that some of the characteristics of the assessment can be a guide to distinguish benign, malignant and metastases lesions in cervical lymph nodes.

A Case of Kawasaki Disease, Presenting as a Retropharyngeal Cellulitis with Swelling of Cervical Lymph Nodes

2010 ◽  
Vol 103 (5) ◽  
pp. 485-488
Author(s):  
Manabu Suzuki ◽  
Tetsuya Terada ◽  
Yuko Inaka ◽  
Asako Tanaka
Keyword(s):  
Kawasaki Disease ◽  
Lymph Nodes ◽  
Cervical Lymph Nodes

Granulocytic sarcoma presenting with necrotic cervical lymph nodes as an initial manifestation of childhood leukaemia: imaging features

2008 ◽  
Vol 38 (6) ◽  
pp. 685-687 ◽  
Author(s):  
Sang Bu An ◽  
Jung-Eun Cheon ◽  
In-One Kim ◽  
Woo Sun Kim ◽  
Hyo Seop Ahn ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Granulocytic Sarcoma ◽  
Childhood Leukaemia ◽  
Imaging Features ◽  
Initial Manifestation ◽  
Cervical Lymph Nodes

Ultrasonographic Evaluation of Cervical Lymph Nodes in Kawasaki Disease

PEDIATRICS ◽  
2002 ◽  
Vol 109 (5) ◽  
pp. e77-e77 ◽  
Author(s):  
N. Tashiro ◽  
T. Matsubara ◽  
M. Uchida ◽  
K. Katayama ◽  
T. Ichiyama ◽  
...  
Keyword(s):  
Kawasaki Disease ◽  
Lymph Nodes ◽  
Cervical Lymph Nodes

scholarly journals “Unusual” course of lymphadenopathy in patients with Kawasaki disease: clinical case and literature data

2018 ◽  
Vol 9 (3) ◽  
pp. 111-117
Author(s):  
Maria A. Kaneva ◽  
Ksenia V. Borovleva ◽  
Veronika S. Peredereeva ◽  
Elena P. Fedotova ◽  
Larisa N. Melnikova ◽  
...  
Keyword(s):  
Lymph Node ◽  
Kawasaki Disease ◽  
Lymph Nodes ◽  
Clinical Case ◽  
Febrile Illness ◽  
Disease Diagnosis ◽  
Lymph Node Involvement ◽  
Lymphoproliferative Disease ◽  
Cervical Lymph Nodes ◽  
Characteristic Features

Kawasaki disease is an acute febrile illness of childhood, one of its characteristic features is lymphadenopathy. Most often it manifests unilateral painful more than 1.5 sm in diameter enlargement of single or several cervical lymph nodes. In some cases increase in size can be observed in other lymph nodes groups: axillary, inguinal, paratracheal, para-aortic, retroperitoneal, mesenteric. In that case the dimension is smaller than 1.5 sm in diameter. Usually it occurs at the same time as fever and fades away after inflammation is terminated. Most typical morphological features are non-purulent necrotic changes with subcapsular necrotic lesions and non-specific changes: presence of enlargement of paracortical zone and expansion of sinus. The article presents a clinical case of Kawasaki disease diagnosis accompanied by severe lymphadenopathy, persistence of fever and progression of lymphadenopathy, appearance of supraclavicular lymph node after the introduction of intravenous immunoglobulin. This reflects the non-smooth course of the disease and required differential diagnosis, primarily with lymphoproliferative disease. A review of “unusual” cases of lymphadenopathy in patients with Kawasaki disease described in the literature is presented. The importance of carrying out a histological examination of the lymph node in a nonsmooth course of the disease is underlined. Histological variants of lymph node involvement in patients with Kawasaki disease are described.

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