Paediatric cervical lymphadenopathy: an evidence-based approach for GPs

Neck lymphadenopathy is a common reason for paediatric consultations. Palpable lymph nodes are the most common neck swellings found on paediatric examination, with a prevalence of 45% in otherwise healthy children.1 While most cases are benign and self-limiting, GPs must recognise red flags for serious causes. This article outlines key features in presentation and management. Box 1 defines the commonly used relevant terms. View this table: Box 1. Definition of terms used in describing lymph node abnormalities1–4 A detailed history can point to specific differential diagnoses, guiding diagnosis and management. Key considerations include: