Pediatric rheumatology

Clinical features and recurrence predictors of histiocytic necrotizing lymphadenitis in Chinese children

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Our study demonstrates that fever and cervical lymphadenopathy are the most frequent clinical manifestations of HNL in Chinese children, which often coexist with aseptic meningitis.

Study context

Population
Chinese children with histopathologically confirmed histiocytic necrotizing lymphadenitis (HNL), single centre in China, January 2018 to May 2023121 males and 60 females
Participants
181 children
Outcome
Clinical features and predictors of HNL recurrence
Methodological detailssingle-centre, logistic regression
  • Single-centre
  • Logistic regression

Main finding

As reported in the abstract

Fever
98.9%
Cervical lymphadenopathy
98.3%
Aseptic meningitis (most frequent complication)
38.5%
Haemophagocytic lymphohistiocytosis
1.7%
Autoimmune disease
1.2%
Recurrence
12.7%
ESR > 30 mm/h as predictor of recurrence, OR
6.107

Observational data: associations, not effects.

Original publication

Clinical features and recurrence predictors of histiocytic necrotizing lymphadenitis in Chinese children. Pediatr Rheumatol Online J. Published 11 June 2024. doi:10.1186/s12969-024-00996-y

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