Author(s): Muhammad Ali Channa, Rabia Urooj, Masoom Raza Mirza, M Rafi que Gooda, Farhat Jaleel
Objective: To observe the frequency of tuberculosis in patients with cervical Lymph- adenopathy. Study design: Prospective descriptive study. Sett ing& duration: At Hamdard University Hospital Karachi from January 2008 to January 2009. Methodology: All Patients w ith cervical Lymphadenopathy were included who pre- sented in outpatient department. Detailed history, clinical examination, Complete blood picture, Erythrocyte sedimentation rate (ESR), Mantoux test (MT) and X-ray chest were done in all patients .Diagnosis was confi rmed either by Fine Needle Aspira- tion Cytology (FNAC), incisional or excisional biopsy . Data was collected on a prede- signed Performa. Results: Sixty patients were included in s tudy, female to male ratio was 1:0.7. Most common clinical presentation was multiple painless neck swellings (80%), others were abscess, discharging sinus, pyrexia & weight loss. Tuberculosis was confi rmed in 42 patients (70%), squamous cell carcinom a in 02(3.33%), Lymphoproliferative disor- ders 03 (05%), Kikuchi disease o1 (1.66%) and Non-specifi c infl ammation in 12 (20%) patients. Conclusion: Tuberculosis is commonest caus e of cervical Lymphadenopathy in our clinical practice.