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Distinguishing Between Allergy-Induced and Infection-Induced Swelling Allergy-induced lymph node swelling typically features: Mild to moderate enlargement Minimal tenderness Correlation with allergy symptoms (sneezing, itching) Bilateral swelling (affecting both sides) Resolution when allergy symptoms improve Infection-induced swelling commonly presents with: More pronounced enlargement Significant tenderness or pain Redness and warmth of overlying skin Fever or other systemic symptoms Possible asymmetrical swelling The timing of symptoms can provide cluesallergy-related swelling often coincides with exposure to known allergens, while infection-related swelling may develop after exposure to sick individuals or alongside respiratory symptoms

Methods Ethical approval The study protocol was approved by the Institutional Review Board of Seoul National University Hospital (IRB No