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MERCK MANUAL
Professional Version
Some Causes of Lymphadenopathy
http://
Cause Suggestive Findings Diagnostic Approach
www.
merc
kman
Cause Suggestive Findings Diagnostic Approach uals.
com/
profe
Infections ssion
al/car
diova
scula
Infections r-diso
rders
/lymp
Cervical adenopathy with only little or no hatic-
tenderness disor
URI Clinical evaluation
ders/l
Sore throat, runny nose, cough ymph
aden
opath
Cervical adenopathy only (often tender) y
Oropharyngeal infection (eg, pharyngitis, stomatitis, dental Clinical evaluation
abscess) Clinically apparent oropharyngeal infection
HIV infection (primary infection) Usually fever, malaise, rash, arthralgia Sometimes HIV-RNA assay
(if early primary infection is
Often history of HIV exposure or high-risk activity suspected)
Generalized adenopathy
Clinical criteria, antibody
Systemic lupus erythematosus (SLE) Typically arthritis or arthralgias
testing
Sometimes malar rash, other skin lesions
Kawasaki disease Fever (usually > 39° C), truncal rash, strawberry Clinical criteria
tongue, periungual, palmar and plantar
desquamation
Other conditions
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11/27/2017 Lymphadenopathy - Cardiovascular Disorders - Merck Manuals Professional Edition
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