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Etiology of granulomatous inflammation:A retrospective study of 174 children in a tertiary care center

Asian Pacific Journal of Tropical Medicine 2022年第11期15卷 511-517页

作者： Ummühan Cay Derya Alabaz ÖzlemÖzgür Gündeşlioğlu aysun hatice uguz Hande Yanar Department of Pediatric Infectious Diseases Faculty of MedicineÇukurova UniversityAdanaTurkey Department of Pathology Faculty of MedicineÇukurova UniversityAdanaTurkey

Objective:To investigate granulomatous inflammation etiology based on clinical history and ancillary ***:Children aged<18 years with biopsy proven granulomatous lesions in any tissue specimens between January 2014 and January 2022 were included in the *** diagnosis was based on the results of immunohistochemical staining,molecular tests,culture,serology,radiological and other auxiliary laboratory *** were categorized into infectious and noninfectious ***:In total,174 patients with granulomatosis inflammation confirmed by histopathology were *** 59.2%patients were males,and the median age was 4.48(IQR 2.36-6.39)years(range:16 months-18 years).The tissues/organs that were most commonly biopsied were lymph node,bone,skin,and lung(51.1%,17.8%,9.2%,and 5.7%,respectively).Infectious and non-infectious causes were identified in 73.0%and 12.6%patients,respectively,in terms of granulomatosis inflammation etiology;however,no cause was identified in 14.4%*** most common infectious cause was tuberculosis(in 51.7%patients),followed by toxoplasmosis,aspergillosis,mucormycosis,leishmaniasis,and cat-scratch disease(in 8.6%,5.7%,1.7%,1.7%,and 1.1%patients,respectively).The common non-infectious cause was chronic granulomatous *** evaluation revealed granulomatosis inflammation in 33.3%patients,necrotizing granulomatosis inflammation in 30.5%patients,and caseating granulomatosis inflammation in 12.1%*** the pathology results of patients with and without tuberculosis were compared,the incidence of caseating granulomatosis inflammation(P=0.003)and necrotizing granulomatosis inflammation(P=0.005)was higher in patients with ***:Chronic granulomatous disease is the most common non-infectious cause in ***,primary or secondary immune deficiencies may cause granulomatosis inflammation,especially in pediatric patients.

关键词： Granulomatous Children Tuberculosis Chronic granulomatous disease

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