Question

The child has been noticing cervical and occipital lymphadenopathy since childhood, with a history of boils on the head. Now, at three years old, the child tends to sweat during afternoon naps, is still growing in height but quite thin, not lacking in muscle mass, and is very active. Previous treatment and outcomes: had viral pharyngitis. Seeking assistance: whether these symptoms are indicative of tuberculosis, and if there is a relationship between lymphadenopathy and excessive sweating.

Answer

Hello! There is no connection between sweating and lymphadenopathy that would cause it to inflame and swell without cause. It’s always due to nearby inflammation (such as infection or wounds). If there is inflammation nearby, the lymphadenopathy is likely a common case of lymphadenitis. Overwork, stress, or stomachaches can also lead to it (submental and cervical lymphadenitis often originates from oral cavity inflammation, as well as inflammation in the nose or throat). Additionally, if the lymph node is easily movable when you gently press it with your fingers, and it’s not adhered to the surrounding skin or muscles, it’s also indicative of lymphadenitis. It’s not tuberculosis, nor is it any of those large diseases you’re worried about like cancer or tumors; there’s no need for detailed checks with medical instruments.