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Journal of Medical Ultrasonics

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1995 - Vol.22

Vol.22 No.01

Original Article(原著)

(0031 - 0033)


Ultrasonography of Infectious Mononucleosis in Children

水関 清1, 中村 泰子2, 真鍋 孝治2, 近藤 俊文3

Kiyoshi MIZUSEKI1, Yasuko NAKAMURA2, Koji MANABE2, Toshifumi KONDO3

1広見町国民健康保険愛治診療所, 2市立宇和島病院小児科, 3市立宇和島病院内科

1Hiromi Municipal Aiji Medical Center, 2Departments of Pediatrics, Uwajima Municipal Hospital, 3Departments of Internal Medicine, Uwajima Municipal Hospital

キーワード : Hepatitis, Infectious mononucleosis, Lymphadenopathy, Ultrasonic diagnosis

Sonographic findings from 43 children with Epstein-Barr virus-induced infectious mononucleosis (EBV-IM) and results of biochemical liver function tests were compared. Lymphadenopathy was found around the liver hilum in 29 (67%) of the 43 cases, and was detected more frequently in infants than in school-aged children. Number of swollen lymph nodes correlated closely with severity of liver dysfunction. These results indicate that ultrasonography is useful in the early diagnosis of EBV-IM accompanied by liver dysfunction, especially in infants.