Lymphadenopathy natural history, complications and prognosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Natural History
The natural course of lymphadenopathy depends on the underlying cause. Lymphadenopathy due to infectious causes subsides once the infection is controlled.
Complications
- Mediastinal lymphadenopathy causes pressure symptoms like:
- Superior vena cava syndrome
- Tracheal and bronchial obstruction
- Dysphagia
- Hemoptysis
- Uric acid nephropathy
- Hyperkalemia
- Hypercalcemia
- Hypocalcemia
- Hyperphosphatemia
- Renal failure
- Abdominal lymphadenopathy can cause
- Superficial lymphadenopathy can cause
- Abscess formation
- Cellulitis (a skin infection)
- Fistulas (seen in lymphadenitis that is due to tuberculosis)
- Sepsis (bloodstream infection)
Prognosis
Prompt treatment with antibiotics usually leads to a complete recovery. However, it may take weeks, or even months, for swelling to disappear. The amount of time to recovery depends on the cause. Prognosis is poor for malignant tumors.