title: Pediatric lymphedema caused by diffuse cervical lymphadenopathy: A case report and review of the literature.
abstract: Pediatric head and neck lymphedema is rare and there have not been any reported cases in children. Here we discuss severe, diffuse head and neck lymphedema in a child caused by compression of the internal jugular veins by lymphadenopathy from Kawasaki's disease. With steroid and intravenous immunoglobulin treatment, the lymphadenopathy improved and facial edema slowly resolved. In review of the literature, complications of head and neck lymphedema including airway obstruction and blindness are discussed. This case highlights the importance of the pediatric otolaryngologist considering lymphedema as a cause for facial swelling and monitoring for complications of lymphedema.
authors.affiliation: Baylor College of Medicine, Bobby R. Alford Department of Otolaryngology, Houston, TX, USA.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Gitomer
authors.affiliation: Baylor College of Medicine, Bobby R. Alford Department of Otolaryngology, Houston, TX, USA; Texas Children's Hospital, Division of Pediatric Otolaryngology, Houston, TX, USA.
authors.forename: Carla M
authors.initials: CM
authors.lastname: Giannoni
authors.affiliation: Baylor College of Medicine, Bobby R. Alford Department of Otolaryngology, Houston, TX, USA; Texas Children's Hospital, Division of Pediatric Otolaryngology, Houston, TX, USA. Electronic address: ktcanada@texaschildrens.org.
authors.forename: Karina T
authors.initials: KT
authors.lastname: Cañadas
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008209:Lymphedema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D009333:Neck; D014057:Tomography, X-Ray Computed
keywords: Head and neck lymphedema; Internal jugular vein; Kawasaki's disease; Lymphadenopathy; Pumpkin head