Isolated Submental Lymphadenopathy

Lynnette J Mazur,Micah Gibson,Hunter Nolen,Vikas Gupta

doi:10.31579/2690-8808/084

Abstract

A 5 year old female presented to clinic with a lump under her chin. She had a similar lump two months ago but the parents stated that it spontaneously resolved in a few days. There was no history of fever and there were no pets. Her past medical history was significant for epilepsy which was controlled with zonisamide. On physical examination a 3x2.5 cm, soft, nontender, nonmobile submental mass and perioral dermatitis were noted. (Figures 1, 2) A complete blood count (CBC) and an ultrasound (US) were ordered.

Highlights

Masses in the head and neck region have several causes but most cases in children are infectious [1]. (Figure 3) Local staphylococcal and streptococcal infections can present with submandibular lymphadenopathy; children are usually febrile and the nodes are usually tender
Cervical adenopathy in patients less than 6 years old is associated with neuroblastoma and leukemia whereas in patients older than 6 years it is more commonly associated with Hodgkin’s lymphoma, non-Hodgkin’s lymphoma and rhabdomyosarcoma [7, 9]
Most children with cervical lymphadenopathy do not require laboratory testing; a two to four week period of observation is reasonable for nodes that are small, soft, and mobile [9]

Summary

Introduction

Masses in the head and neck region have several causes but most cases in children are infectious [1]. (Figure 3) Local staphylococcal and streptococcal infections can present with submandibular lymphadenopathy; children are usually febrile and the nodes are usually tender. Masses in the head and neck region have several causes but most cases in children are infectious [1]. (Figure 3) Local staphylococcal and streptococcal infections can present with submandibular lymphadenopathy; children are usually febrile and the nodes are usually tender. Thyroglossal duct cysts present as midline neck masses and occur in approximately 7% of the population [5].

Results

Conclusion