A 7yrs male Child have Such type of non tendre glandular cyst since 1 months gradually increasing in size.asso e intermittnt fever n loss of appetite. Kindly suggest dx

1 Like

LikeAnswersShare

IT'S A..CASE OF.. ? POST AURICULAR LYMPHADENITIS.. ? DERMOID CYST.. ? SECONDARY TO UNDERLYING PATHOLOGY..IN..SCALP..EAR..etc... NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. * HEMOGRAM.. * X-RAY STUDY.. * CTCE STUDY.. * EXPERTS OPINION..

Tnx Dr Mahmud Aktar
0

POST AURICULAR LYMPHADENITIS Tuberculous lymphadenitis DD Sebacious cyst Lipoma Dermoid cyst USG affected area with USG guided biopsy Biopsy for r/m, AFB, c/s CBC ESR LFT RFT X ray chest Tab augmentin 375 Tab dolo ADD MEDICINE as per REPORTS

Looking at presentation...one has to consider Post autocular adenopathy...They look a bit more larger than benign lymphnodes we feel In various minor infections..that does not merit discussion.They look nonerythematous probably not painful.. The other consideration as per our well known pediatricians is sebaceous cysts..even though Sebaceous cyst thought did not cross my mind.Sebaceous glands as sweat glands.. Two types some open to hair follicle and some Indepentantly exit to skin.As ecrine and apocrine glands... Sebaceous glands are abundant over hairy areas and and some Non hairy areas.True sebaceous cysts(Steatocystoma) may be rare.what we call Sebaceous cysts (epidermoid and pilodermaoid may be not true sebaceous cysts.They donot contain sebum. Sebaceous glands are absent in palm and soles...Sebaceous glands in area like lips/ Buccal mucosa/penis/labia minors..and are called Fordyce spots..in eye lids they are called mebonian..in areola..Montogomery glands...In foeuts in late term sebaceous glands are responsible for vernix casiosa., In Infants and Toddlers...excessive secreation Causes Seborrheic dermatitis..craddle cap.. In adolescents. Acne/comedones/white/Black. In eye lid chalazion...

I agree
0

Post auricular lymphadenitis. As history is of 1 month duration with intermittent fever and loss of appetite , tubercular lymphadenitis should be the first possibility. Infective lymphadenitis is also to be taken into consideration- look for infective focus in the E.N.T region and scalp

Post auricular lymphadenitis seems to be matted one may be Tuberculous lymph adenitis D /D A. Infective to examine ear and throatb for presence of any source of infection B. Dermoid cyst C malignancy a. Primary Hodgkin or non Hodgkin lypmhoma b. Secondary Blood complete examination Mantaux test X-ray chest USG or CT Exision biopsy to confirm

Thank you doctor
0

Examine ear n oral cavity . Check hair for seborrheic dermatitis. R/o mastoiditis too.

Post auricular adenitis May be primary or secondary Examine the ear and scalp properly Adv cbc esr and fnac

I agree Sir
0

View 2 other replies

Post auricular lymphadenitis Examine ear & scalp properly

Since it is retroauricular and over area of suture line of skull, dermoid cyst should be ruled out, next would be retroauricular lymph node

Lymphadenitis in rt mastoid region 5 days sy Aug tds sy combiflam10 ml tds if no relief then CBC ESR Mt xray chest fnac HP if required

Load more answers