The
lymphatic system is part of the immune surveillance system.
Blood contains
fluid and blood
cells. The fluid, which may contain suspended foreign material such as
bacteria and
viruses, seeps through
blood vessel walls into the
tissues, where it bathes the body cells and exchanges substances with them. Some of this lymph fluid is then taken up by
lymphatic vessels and passed back to the heart, where it is again mixed with the blood. On its way, the fluid passes through the
lymph nodes, small nodular organs located throughout the body but concentrated in certain areas such as the
armpits or
groin. These lymph nodes are also known as glands or lymphoid tissue. If they detect something foreign passing through them, they enlarge. This is called
lymphadenopathy or swollen glands. Usually this is localised (for example, an infected spot on the
scalp will cause lymph nodes in the neck on that same side to swell). However, when two or more lymph node groups are involved, it is called
generalized lymphadenopathy. Usually this is in response to a significant systemic disease and will subside once the person has recovered. Sometimes it can persist long-term, even when no explanation for the lymphadenopathy can be found. This is then called persistent generalized lymphadenopathy (PGL).
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