Joana P. Câmara (Portugal)
Health Unit of São Miguel Island Ponta Delgada Health CenterAuthor Of 1 Presentation
AN UNUSUAL DIAGNOSIS OF INGUINAL SWELLING
Abstract
Abstract Body
Background and purpose - Peripheral lymphadenopathy can be caused by infectious, inflammatory, malignant, or less common diseases, like sarcoidosis. Sarcoidosis is a multisystem disorder of unknown etiology, in which lymphadenopathy is present in up to 40 percent of patients.
Methods - We analyzed a case report regarding a patient with inguinal lymphadenopathy.
Results - 35-year-old male patient, nuclear family, Duvall cycle phase I, with venous insufficiency. He reported left inguinal swelling for several months, with a progressive increase in size and local pain; he also mentioned tiredness, night sweats, and dry cough. Upon observation, he had a left inguinal nodule, 3 cm, mobile, non-adherent; hepatomegaly was also detected. Analytical study with leukocytosis of 15 800/uL, PCR 15.4 mg/dl; inguinal echographic with multiple inguinal adenopathies, especially on the left, suggesting CT. In the thoracic and abdominal CT were detected multiple mediastinal lymphadenopathy clusters, hilars and retro-peritoneal, areas of pulmonary ground-glass opacities, and homogeneous hepatosplenomegaly, suggesting lymphoproliferative disease. It was performed an excisional biopsy of the left inguinal ganglion - histology compatible with the diagnosis of sarcoidosis. After specific treatment, he became asymptomatic.
Conclusions - It is important to exclude severe or potentially fatal causes in the study of lymphadenopathy since the timely treatment of the pathology involved is essential for the prognosis to be favorable. The family doctor is, in many situations, the first contact that the patient has with the health service, so he has to be alert to warning signs that may indicate a potentially serious illness.
Presenter of 1 Presentation
AN UNUSUAL DIAGNOSIS OF INGUINAL SWELLING
Abstract
Abstract Body
Background and purpose - Peripheral lymphadenopathy can be caused by infectious, inflammatory, malignant, or less common diseases, like sarcoidosis. Sarcoidosis is a multisystem disorder of unknown etiology, in which lymphadenopathy is present in up to 40 percent of patients.
Methods - We analyzed a case report regarding a patient with inguinal lymphadenopathy.
Results - 35-year-old male patient, nuclear family, Duvall cycle phase I, with venous insufficiency. He reported left inguinal swelling for several months, with a progressive increase in size and local pain; he also mentioned tiredness, night sweats, and dry cough. Upon observation, he had a left inguinal nodule, 3 cm, mobile, non-adherent; hepatomegaly was also detected. Analytical study with leukocytosis of 15 800/uL, PCR 15.4 mg/dl; inguinal echographic with multiple inguinal adenopathies, especially on the left, suggesting CT. In the thoracic and abdominal CT were detected multiple mediastinal lymphadenopathy clusters, hilars and retro-peritoneal, areas of pulmonary ground-glass opacities, and homogeneous hepatosplenomegaly, suggesting lymphoproliferative disease. It was performed an excisional biopsy of the left inguinal ganglion - histology compatible with the diagnosis of sarcoidosis. After specific treatment, he became asymptomatic.
Conclusions - It is important to exclude severe or potentially fatal causes in the study of lymphadenopathy since the timely treatment of the pathology involved is essential for the prognosis to be favorable. The family doctor is, in many situations, the first contact that the patient has with the health service, so he has to be alert to warning signs that may indicate a potentially serious illness.