Is the Initial Size of Tuberculous Lymphadenopathy associated with Lymph Node Enlargement during Treatment?
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초록
There are little data on the changes in lymph node (LN) size during the treatment of tuberculous lymphadenopathy (TB LAP). This study aimed to provide data on LN changes during treatment. Between March 2014 and December 2015, 20 patients who were diagnosed with cervical TB LAP were enrolled. LN enlargement within two months (50%, 4/8 vs. 8.3%, 1/12; P = 0.04) was more frequently observed in patients with initial LN size ≥7.5 cm2. Enlarged LNs were excised in three patients owing to pain and fistula formation. Initial LN size may be associated with LN enlargement during treatment.
Abstract
There are little data on the changes in lymph node (LN) size during the treatment of tuberculous lymphadenopathy (TB LAP). This study aimed to provide data on LN changes during treatment. Between March 2014 and December 2015, 20 patients who were diagnosed with cervical TB LAP were enrolled. LN enlargement within two months (50%, 4/8 vs. 8.3%, 1/12; P = 0.04) was more frequently observed in patients with initial LN size ≥7.5 cm2. Enlarged LNs were excised in three patients owing to pain and fistula formation. Initial LN size may be associated with LN enlargement during treatment.
참고문헌 (9)
- 이지연, "Diagnosis and Treatment of Extrapulmonary Tuberculosis", Tuberculosis and Respiratory Diseases, 78(2), pp.47~55 (2015), 대한결핵및호흡기학회
- 대한에이즈학회, "The 2015 Clinical Guidelines for the Treatment and Prevention of Opportunistic Infections in HIV-Infected Koreans: Guidelines for Opportunistic Infections", Infection and Chemotherapy, 48(1), pp.54~60 (2016), 대한감염학회
- Cho OH, "Paradoxical responses in non-HIV-infected patients with peripheral lymph node tuberculosis", J Infect, 59, pp.56~61 (2009)
- Polesky A, "Peripheral tuberculous lymphadenitis: epidemiology, diagnosis, treatment, and outcome", Medicine (Baltimore), 84, pp.350~362 (2005)
- Kim SH, "Diagnostic usefulness of a T-cell based assay for extrapulmonary tuberculosis", Arch Intern Med, 167, pp.2255~2259 (2007)
- Kanjanopas K, "Tuberculous cervical lymphadenopathy and the role of surgical treatment", Southeast Asian J Trop Med Public Health, 45, pp.1419~1424 (2014)
- Joo YH, "Treatment assessment based on computerized lymph node volume and ratio of necrotic area in tuberculous cervical lymphadenitis", Auris Nasus Larynx, 39, pp.402~406 (2012)
- Park KH, "Incidence and outcomes of paradoxical lymph node enlargement after anti-tuberculosis therapy in non-HIV patients", J Infect, 67, pp.408~415 (2013)
- Jindal SK, "Tuberculous lymphadenopathy: a multicentre operational study of 6-month thrice weekly directly observed treatment", Int J Tuberc Lung Dis, 17, pp.234~239 (2013)