Introduction: The causes of superficial lymphadenopathy are diverse and their prognosis is often unknown. The diagnosis of superficial lymphadenopathy remains a challenge because, alone, its clinical picture doesn't allow differentiating between an infectious disease and a non-transmissible disease. The aim of this study is to describe epidemiological, clinical and pathologic aspects of superficial lymphadenopathy observed in the internal medicine department at the University of Lubumbashi Clinics (DR Congo). Patients, Materials and Methods: This is a descriptive and transversal study on superficial lymphadenopathy observed over a period of 24 months from November 2013 to October 2015 at the University of Lubumbashi Clinics. Parameters studied were gender, age, clinical particular of superficial lymphadenopathy and associated patient clinical signs and pathology of these lymph nodes biopsy. Results: 36 patients' data were identified with a sex ratio M/F = 1.76 and a mean age of 42.47 ± 15.64 years. 75% of patients had lymph nodes tumefaction as the main complaint during consultation and 61.1% had a poor general condition marked by fever. 27.8% were HIV positive and cervical lymphadenopathy was the most frequent. As for the pathologic diagnosis, non-Hodgkin lymphoma was the most frequent diagnosis (47.2%) followed by reactive hyperplasia (27.8%) and infectious lymphadenopathy (19.4%). Conclusion: The most frequent cause of lymphadenopathy in our study was non-Hodgkin lymphoma (47.2%) followed by lymph nodes reactive hyperplasia (27.8%) and infectious lymphadenitis. Lymph nodes biopsy plays an important role in confirming superficial lymphadenopathy diagnosis. It should be the basic procedure to diagnose extra pulmonary tuberculosis in the DRC National Program against TB.
Introduction: Superficial lymphadenopathy is a frequent reason for consultation in Internal Medicine. The diagnosis approach even done by a meticulous clinical examination has to be completed with investigations such as medical imagery and pathologic study. In low-income countries like Democratic Republic of Congo, means for proper diagnosis remain hardly accessible for some classes of the society. Thus, our study aims to describe socioeconomic , clinical and biologic parameter that can give diagnosis orientation in patients with superficial lymphadenopathy as observed in the department of internal medicine at the University of Lubumbashi Clinics (DR Congo). Patients, Material and Method: This is a descriptive, transversal study on superficial lymphadenopathy observed for a period of 24 months from November 2013 to October 2015 at the University of Lubumbashi Clinics. Parameters studied included gender, age, localization and clinical characteristics of superficial lymphadenopathy; biologic parameters and pathologic diagnosis were determined by lymph nodes biopsy. Results: 36 patients data were captured and non-Hodgkin lymphoma is the most frequent pathologic diagnosis (47.20%) followed by reactive hyperplasia (27.80%) and infectious lymphadenitis (19.40%). Some of the variables studied presented a significant statistical association and included age ≥ 50 years old (p = 0.0247), inguinal location (p = 0.0053), multifocal location (p = 0.0063), sensible character (p = 0.0391) and leukocytosis (p = 0.0022) for non-Hodgkin lymphoma and variables like age below 50 years (p = 0.0345), inguinal location (p = 0.0299) and sensible character (p = 0.394) for reactive hyperplasia. Conclusion: The C. Kakisingi et al.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.