Symptoms of splenomegaly in children

Update Date: 2021-09-28 Source: Network

summary

Splenomegaly is a common sign in infants and children. It is commonly seen in systemic diseases, such as infection, blood disease, metabolic disease, tumor, etc. In acute infection, splenic hyperemia is often seen within a few days, which can be touched under the left costal margin; Splenomegaly caused by chronic infection is mainly due to proliferative infiltration. It should be pointed out that in most preterm infants and 30% of full-term infants, the spleen can be touched immediately after birth, while in normal infants of 5-6 months, only 15% can be touched. After that, it can not be touched generally, and only a few can be touched occasionally at the age of 3-4. Let's talk about the symptoms of children's splenomegaly

Symptoms of splenomegaly in children

1. The way of onset and the course of disease. Acute infectious splenomegaly caused by bacteria and virus usually occurs suddenly. The duration of splenomegaly can be long or short, and the course of most hematologic diseases is long.

2. With pain in liver and spleen area, liver pain indicates intrahepatic inflammation, acute congestion or malignant tumor. Splenic pain was mainly splenic embolism and perisplenitis. Most congenital metabolic disorders have no pain in liver and spleen. The pain in liver and spleen region has a certain diagnostic value.

3. Splenomegaly with fever and spontaneous pain or tenderness is mostly caused by infection. Common in systemic infectious diseases, such as sepsis, perisplenitis, splenic abscess, Kala Azar, chronic malaria and tsutsugamushi disease. Splenomegaly with lymphadenectasis and fever, mostly caused by virus infection, such as infantile rash, rubella, children with lymphadenectasis, fever prominent, occasionally splenomegaly.

matters needing attention

According to the different primary diseases, general infectious diseases, timely diagnosis and treatment, most of the prognosis is good, especially acute infectious diseases. Severe cases, serious complications, malignant tumors or genetic metabolic diseases often affect the prognosis.