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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Normal To Have Enlarged Lymph Nodes In A Toddler?

Hi, i have son, 4,5 years old. About 1,5 years ago, i found one lymph node at the right side of his neck. Then by the time, it became 3. The size of these nodes has enlarged. The last time i checked to pediatrician, the size was 1,5 cm. Our doctor also did the PPD (Test skin for TB), and he measured and result induration was 15mm. Then we also had a quantiferon test, result is positif, point is 66 (if i m not wrong). He had done an x ray, which taken from side and there is an infiltrat. But our doctor said all are normal and it s not TB. The 3 nodes still at the same size until today. I m still confused as all the result actually was really said normal. But Doctor said it s ok. What should i do? is it really normal in toddler? For your info, his height is 110 cm, weight 18,8 kg. He is healthy, eat a lot although skinny, active. Thanks before
Tue, 1 Dec 2015
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Pediatrician,  's  Response
Hi, welcome to HCM.
I know that you are very concerned about your child but don't worry.
Enlarged multiple lymph nodes can be normal at 4.5 years of age or could be due to tuberculosis.
For tuberculosis, in your child mountoux is positive, quantiferon test is positive and there are infiltrates on X ray chest. This all points towards tuberculosis.
We also have to look for ESR which is increased in tuberculosis.
If there is a history of contact with tuberculosis patient, then also there is increased probability of tuberculosis in child.
I suggest you to do ESR levels in child and revert back with report and also tell whether there is any history of contact with tuberculosis patient.
I hope this will help you.
Take care.




















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Is It Normal To Have Enlarged Lymph Nodes In A Toddler?

Hi, welcome to HCM. I know that you are very concerned about your child but don t worry. Enlarged multiple lymph nodes can be normal at 4.5 years of age or could be due to tuberculosis. For tuberculosis, in your child mountoux is positive, quantiferon test is positive and there are infiltrates on X ray chest. This all points towards tuberculosis. We also have to look for ESR which is increased in tuberculosis. If there is a history of contact with tuberculosis patient, then also there is increased probability of tuberculosis in child. I suggest you to do ESR levels in child and revert back with report and also tell whether there is any history of contact with tuberculosis patient. I hope this will help you. Take care.