Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child

Background. Assignment of causes of generalized lymphadenopathy causes as a symptom of various diseases is still challenging. In case of no infectious causes, the morphological study is necessary also to exclude sarcoidosis, rare for young children immunemediated systemic disease with intermediate p...

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Main Authors: Elena Y. Khorosheva, Elena B. Khramova, Natalya E. Gorohova, Natalya A. Mashkina, Nikolay V. Kozlov, Ksenia P. Kuzmicheva
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2022-05-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/2907
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author Elena Y. Khorosheva
Elena B. Khramova
Natalya E. Gorohova
Natalya A. Mashkina
Nikolay V. Kozlov
Ksenia P. Kuzmicheva
author_facet Elena Y. Khorosheva
Elena B. Khramova
Natalya E. Gorohova
Natalya A. Mashkina
Nikolay V. Kozlov
Ksenia P. Kuzmicheva
author_sort Elena Y. Khorosheva
collection DOAJ
description Background. Assignment of causes of generalized lymphadenopathy causes as a symptom of various diseases is still challenging. In case of no infectious causes, the morphological study is necessary also to exclude sarcoidosis, rare for young children immunemediated systemic disease with intermediate prognosis.Clinical case description. 4 years girl was diagnosed sarcoidosis with typical lesions of intrathoracic lymph nodes and lungs along with signs of generalized lymphadenopathy. Molecular genetic testing has revealed pathogenic variant in the TNFRSF13B gene that was previously described in adult patients with general variable immunodeficiency and pulmonary sarcoidosis. Catamnestic follow-up data on this patient are presented for 3 years. There were no relapses without immunosuppressive therapy.Conclusion. Sarcoidosis was described as the cause of generalized lymphadenopathy in preschool child. Following the federal guidelines has helped to adjust diagnosis tactics, to establish diagnosis, and to choose treatment.
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institution Kabale University
issn 1682-5527
1682-5535
language English
publishDate 2022-05-01
publisher "Paediatrician" Publishers LLC
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series Вопросы современной педиатрии
spelling doaj-art-bc73223f702d46298bd38df9659ed9c22025-08-20T03:34:41Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352022-05-0121211812410.15690/vsp.v21i2.23932031Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool ChildElena Y. Khorosheva0Elena B. Khramova1Natalya E. Gorohova2Natalya A. Mashkina3Nikolay V. Kozlov4Ksenia P. Kuzmicheva5Tyumen State Medical University; Regional Clinical Hospital № 1Tyumen State Medical UniversityRegional Clinical Hospital № 1Regional Clinical Hospital № 1Regional Clinical Phthisiopulmonological CenterTyumen State Medical University; Regional Clinical Hospital № 1Background. Assignment of causes of generalized lymphadenopathy causes as a symptom of various diseases is still challenging. In case of no infectious causes, the morphological study is necessary also to exclude sarcoidosis, rare for young children immunemediated systemic disease with intermediate prognosis.Clinical case description. 4 years girl was diagnosed sarcoidosis with typical lesions of intrathoracic lymph nodes and lungs along with signs of generalized lymphadenopathy. Molecular genetic testing has revealed pathogenic variant in the TNFRSF13B gene that was previously described in adult patients with general variable immunodeficiency and pulmonary sarcoidosis. Catamnestic follow-up data on this patient are presented for 3 years. There were no relapses without immunosuppressive therapy.Conclusion. Sarcoidosis was described as the cause of generalized lymphadenopathy in preschool child. Following the federal guidelines has helped to adjust diagnosis tactics, to establish diagnosis, and to choose treatment.https://vsp.spr-journal.ru/jour/article/view/2907childrenclinical caselymphadenopathysarcoidosis
spellingShingle Elena Y. Khorosheva
Elena B. Khramova
Natalya E. Gorohova
Natalya A. Mashkina
Nikolay V. Kozlov
Ksenia P. Kuzmicheva
Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
Вопросы современной педиатрии
children
clinical case
lymphadenopathy
sarcoidosis
title Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
title_full Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
title_fullStr Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
title_full_unstemmed Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
title_short Clinical Case of Sarcoidosis as a Rare Cause of Lymphadenopathy in Preschool Child
title_sort clinical case of sarcoidosis as a rare cause of lymphadenopathy in preschool child
topic children
clinical case
lymphadenopathy
sarcoidosis
url https://vsp.spr-journal.ru/jour/article/view/2907
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AT elenabkhramova clinicalcaseofsarcoidosisasararecauseoflymphadenopathyinpreschoolchild
AT natalyaegorohova clinicalcaseofsarcoidosisasararecauseoflymphadenopathyinpreschoolchild
AT natalyaamashkina clinicalcaseofsarcoidosisasararecauseoflymphadenopathyinpreschoolchild
AT nikolayvkozlov clinicalcaseofsarcoidosisasararecauseoflymphadenopathyinpreschoolchild
AT kseniapkuzmicheva clinicalcaseofsarcoidosisasararecauseoflymphadenopathyinpreschoolchild