![]() ![]() CSD causes local lymphadenopathy in 85 to 90 percent of patients. ![]() It should be suspected in patients with tender regional unilateral lymphadenopathy, especially if there is a history of exposure to kittens or cats, however, this is not necessary for diagnosis (Cat/Kitten scratch or exposure). Shotty nodes may occur when the immune system is reacting to an. Lymphadenitis is lymphadenopathy with pain and/or signs of inflammation (eg, redness, tenderness). Shotty lymph nodes refers to clusters of small swollen nodes. Generalized: When present in 2 body areas. Supraclavicular lymph nodes are lymph nodes found above the clavicle, that can be felt in the supraclavicular fossa. ![]() Localized: When present in only 1 body area. Unexplained lymphadenopathy: evaluation and differential diagnosis. Lymphadenopathy is palpable enlargement (> 1 cm) of 1 lymph nodes it is categorized as. CSD is commonly diagnosed in children, but adults may also present with the disease. Shotty nodes refer to very small, scattered nodes that feel like shotgun. If an antibiotic is chosen to treat cat-scratch disease, azithromycin (Zithromax) appears to be effective at reducing the duration of lymphadenopathy. Most cases of cat-scratch disease are self-limited and do not require antibiotic therapy. The diagnosis of cat-scratch disease is usually confirmed by a history of cat exposure and antibodies to Bartonella henselae. Clinical recommendation/Evidence rating for Practice: Cat-scratch disease (CSD) should be included in the differential diagnosis in any patient with lymphadenopathy. KEY RECOMMENDATIONS (FYI, A Pt may present with Inguinal or Axillary Lymphadenopathy (unilateral), depending on where the source/scratch is located). Lymphadenopathy (or adenopathy) is, if anything, a broader term than lymph node enlargement, referring to any pathology of lymph nodes, not necessarily resulting in increased size this includes abnormal number of nodes or derangement of internal architecture (e.g. ![]()
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