Hello

As you have said you are 32 year old, a known case of rheumatoid arthritis ( SAZO) , hypothyroidism (Thyronorm)

Reactive lymphadenitis is a common thing that occurs in young healthy people and most commonly the cause is a virus in the drainage area of that node , and in return nodes fights with it on its own and gets big , but finally the node wins

SAZO can cause stomatitis with resultant reactive lymphadenitis , meaning the side effect of sazo is burning sensation of any part of your mouth like burning cheek , tongue , palate and inner part of lips ..... and in return your nodes think its infection and they swell up , just stop the medicine and it will go away , even if you continue the drug , reactive lymphadenitis is not a problem but burning sensation in mouth is a problem , discuss this with your doctor.


Rheumatoid causes reactive arthritis itself and its benign

All the causes i described above causes reactive lymphadenitis on biopsy and its benign condition

Nothing to worry about

I hope this helps

Take care

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Hello XXXXXXX

I have seen the pictures of your hand and I will place you in moderate to severe rheumatoid arthritis.

You had undergone excisional lymph node biopsy and that shows reactive arthritis.

Reactive arthritis is never due to tuberculosis.

As in TB lymphadenitis biopsy will show epitheloid cells , caseous necrosis and so on. Reactive arthritis never happens in TB , and if it occurs it is very very rare, just check your self for other signs of TB like night sweats , weight loss, montoux test , chest x-ray , TB quantiferon test , so just take TB out of your mind.

Your doctor is right that we have to stop the progression of rheumatoid arthritis , and you are taking sazo for life time

But if your burning sensation in mouth is not that much meaning its bearable then continue sazo , if not there are other medicine that are almost equal in efficacy to sazo , these drugs are known as DMARDS(sister drugs of sazo)

1.METHOTREXATE
2.LEFLUNAMIDE
3.PREDNISOLONE
4.HYDROXYQUININE and so on

AND IF RESISTANT TO ALL DRUGS YOU HAVE NEW DRUGS KNOWN AS TNF-ALPHA

Discuss this with your rheumatologist with no side effect like stomatitis.

In the end I will say , I am sorry for late reply.

I hope I was helpful to you

If satisfied with answer , kindly write a review , obliged.

Take care,

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