Swelling in Preauricular Lymph Nodes: Understanding Potential Causes
The preauricular lymph nodes (PLNs), located just in front of the ears, play a crucial role in filtering lymph fluid from the scalp, neck, and various parts of the face. Swelling in these lymph nodes can occur for a variety of reasons, with infections being the most common cause.
One of the most common infections linked to PLN swelling is viral conjunctivitis, particularly adenovirus types 3, 4, and 7. This viral eye infection often presents with watery eye discharge and redness. Another frequent cause is Cat Scratch Disease (CSD), a bacterial infection caused by Bartonella henselae, which can lead to regional lymphadenopathy, including swelling of the preauricular nodes, especially if there is exposure to or scratching by cats.
Other infectious causes such as bacterial or viral lymphadenopathies that affect areas draining into the preauricular nodes can also cause swelling. However, it's important to note that less common, but important to consider, are non-infectious causes like lymphoma, tuberculosis, sarcoidosis, and toxoplasmosis.
Symptoms of Parinaud oculoglandular syndrome (POS), a type of conjunctivitis that usually affects one eye, may include small tan nodules within the white of the eye and swelling of the nearby PLNs.
Other symptoms of POS may include redness, tenderness, or inflammation of the eye, fever, and other signs of illness. It's crucial to consult a doctor if experiencing any of these symptoms, especially if they are accompanied by difficulty breathing or swallowing, a fever over 104°F, a lymph node that gets much larger over 6 hours or less, redness of the skin covering the node, more than one swollen lymph node, a lymph node measuring at least 1 inch in diameter, a lymph node that feels tender to the touch, a lymph node that appears swollen without any obvious cause, a lymph node that limits the ability to move part of the body, a lymph node that comes with a fever lasting more than 3 days, or lymph nodes that last more than a month.
Lymphoma, a cancer that originates in the cells of the lymphatic system, is a rare cause of painless swelling in any of the lymph nodes, including the PLNs. Common signs of lymphoma include one or multiple swollen lymph nodes that are painless and do not go away, loss of appetite, unexplained weight loss, pain in the abdomen, indigestion and bloating, nausea and vomiting, abnormal pressure in the affected area, congestion in the face, neck, and upper chest, constant coughing, flu-like body aches, bone pain, a recurrent or persistent fever, night sweats, itching, fatigue, and more.
In the case of a dentigerous cyst, a fluid-filled sac that develops between the jawbone and a partially erupted tooth, a doctor or dentist will usually refer the person to an oral surgeon, who may drain the cyst or remove it entirely, and may also remove the unerupted tooth.
Salivary gland infections and otitis externa (swimmer's ear) can also cause the PLNs to swell. In all cases, it's essential to consult a healthcare professional for proper diagnosis and treatment.
The lymphatic system, a network of vessels connecting the lymph nodes, plays a vital role in removing excess fluid from the body's tissues and directing it toward nearby lymph nodes. The human body contains about 600 small glands called lymph nodes, which contain immune cells that detect and destroy bacteria, viruses, and damaged cells in the fluid. Treatment for a swollen PLN will depend on the underlying cause, with antibiotics often prescribed for bacterial infections and rest, fluids, and over-the-counter pain relievers recommended for viral infections. For more severe cases, such as lymphoma, treatment options will depend on the type and stage of the cancer, with people advised to speak to their oncologist for more information about their treatment plan.
- Adenovirus types 3, 4, and 7 are associated with viral conjunctivitis, a common infection linked to preauricular lymph nodes (PLN) swelling.
- Cat Scratch Disease (CSD), another causative agent of PLN swelling, is a bacterial infection caused by Bartonella henselae.
- Other infectious reasons leading to PLN swelling include bacterial or viral lymphadenopathies in areas draining into the PLNs.
- Lymphoma, a non-infectious cause of PLN swelling, is a rare but significant type of cancer that originates in lymphatic system cells.
- Parinaud oculoglandular syndrome (POS), a type of conjunctivitis, may present with small tan nodules within the eye and nearby PLN swelling.
- Other POS symptoms include redness, tenderness, or inflammation of the eye, fever, and other signs of illness.
- Consult a doctor if experiencing POS symptoms, difficulty breathing or swallowing, a fever over 104°F, an unusually large lymph node, redness of the skin covering the node, multiple swollen lymph nodes, a lymph node measuring at least 1 inch in diameter, a tender lymph node, a lymph node appearing swollen without an obvious cause, a lymph node limiting body movement, a lymph node accompanied by a fever lasting more than 3 days, or lymph nodes lasting more than a month.
- Lymphoma symptoms include one or multiple swollen, painless lymph nodes that do not go away, loss of appetite, unexplained weight loss, abdominal pain, indigestion and bloating, nausea and vomiting, abnormal pressure, congestion, constant coughing, flu-like body aches, bone pain, a recurrent or persistent fever, night sweats, itching, fatigue, and more.
- An oral surgeon may drain or remove a dentigerous cyst, a fluid-filled sac that develops between the jawbone and a partially erupted tooth, causing PLN swelling.
- Salivary gland infections and otitis externa (swimmer's ear) can also result in PLN swelling.
- Consulting a healthcare professional is essential for proper diagnosis and treatment in all cases of PLN swelling.
- The lymphatic system plays a crucial role in removing excess fluid from body tissues and directing it toward nearby lymph nodes.
- The human body contains approximately 600 small immune-packed lymph nodes, which together form the lymphatic system.
- Treatment for a swollen PLN depends on the underlying cause, with antibiotics prescribed for bacterial infections and rest, fluids, and over-the-counter pain relievers recommended for viral infections.
- For more severe cases, such as lymphoma, treatment options depend on the cancer type and stage, with individuals advised to consult their oncologist for further information about their treatment plan.
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