Lymphadenitis: acute or chronic

Lymphadenitis is inflammation of lymph nodes that perform a barrier function, delaying pathogenic microorganisms and their toxins, fabric breakdown products, smallest foreign bodies and T.NS., falling into them with lymph.

Causes of lymphadenita

• Influenza, angina, exudative diathesis, pyodermia
• Chronic inflammation of almonds (tonsillitis), pharyngitis, sinusitis,
• Caries, Stomatitis, gum inflammation (gingivitis), Glossites,
• rhinitis, inflammatory diseases of the ear,
• Common bacterial or viral infectious diseases: tularemia and brucellosis,
• Infectious mononucleosis (cervical) and rubella (ear), adenoviral infection
• Damage to the skin or mucosa of the mouth: At the place of injury, entrance doors are created for infection, furuncle
• Sarcoidosis (lesion of cervical, elbow and axillary lymph nodes)
• frequent inflammatory diseases of the genital organs (inguinal lymph nodes); infections (syphilis, herpes)
• Tuberculosis (cervical, submandibular and axillary lymph nodes), as well as vaccination against this disease
• HIV infection (many groups of lymph nodes) and others.

What is acute lymphadenitis

Acute lymphadenitis begins with pain in the affected assemblies and their increase, with a feeling of some awkwardness when moving head, general ailment, increasing body temperature. Increased lymph nodes are well defined on the touch: they are movable, not soldered with the surrounding tissues, while they are somewhat painful and have a tight - elastic consistency. Inflammation rarely goes into a purulent process; It gradually subsides in accordance with the effectiveness of the treatment of the underlying disease, which caused inflammation of lymphatic vessels and nodes. The nodes gradually decrease in size, become less painful and after a few weeks they acquire their usual shape and consistency.

With an unfavorable flow, inflammation can go to purulent. The general condition worsens - the body temperature is strongly rising, there is airsdown, a breakdown, oznoby, heartbeat, headaches, is lost appetite and t. D. The node becomes low-propelled, soldering with other nodes, forming a package with them, softening appears in the center of the area of ​​redness - a sign of the accumulation of pus. The inflamed lymph node is gradually melted and causes the formation of a fistula (with the transition of a disease in a chronic form) or the development of purulent inflammation of fiber.

Forecast for timely treatment favorable. The outcome of the disease is the scarring with the substitution of lymphoid tissue connective. In some cases, elephantity may develop due to the violation of the lymphottock.

Increased lymph nodes can be detected:

• Behind and ahead of the oars,
• on the sides of the neck,
• Under the lower jaw,
• Over the clavicle,
• armpits,
• on the side sides of the chest,
• in elbow grab,
• in groin.

An increase in one lymph node, not accompanied by pain, an increase in body temperature, progressing the growth of lymph nodes, is not a sign of the disease, but indicates that this lymph node - «hard worker», works more active than his fellow. Similar increase often arises on the background or after infections. Over time, lymph node can return to its usual sizes.

Features of chronic lymphadenita

Chronic lymphadenitis is characterized by an increase and sealing of lymph nodes due to an increase in connective tissue, a decrease in their mobility.

Chronic nonspecific lymphadenitis develops as a result of the destruction of the acute process or is caused by low-active microorganisms. The overall health of the patient is usually not impaired. Unbreamed nodes, but tight enough, on the touch separate, clearly defined. With a long action of the source of infection on the lymph node in the process of chronic inflammation, it gradually collapses, replaced by a connective tissue. Periodic exacerbations lead to the formation of a fistula, which in time closes and makes it wary. Then the fistula arises next.

Chronic specific lymphadenitis develops due to tuberculosis, syphilitic, etc. Chronic infections. As a rule, the mandibular, subband, trimmed and cervical nodes are affected, sometimes with lesion of lymph nodes in other parts of the body, including bronchial and retroperitoneal.