Child with Neck Lump and Rash: School Exclusion Guidance
Do not send the child to school. An enlarged cervical lymph node with rash warrants prompt medical evaluation for:
- Infectious causes: streptococcal pharyngitis, mono, CMV, TB, cat-scratch disease
- Inflammatory: Kawasaki, JIA, serum sickness
- Neoplastic: lymphoma, metastatic disease (rare but critical)
- Contagious rash: scarlet fever, measles, varicella, impetigo
Exclusion prevents potential spread and allows timely diagnosis/treatment. Return per clinician clearance.
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