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Having swollen nodes on thyroids, pain in chest, cough and sweating. Biopsy done. Chances of lupus?

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General & Family Physician
Practicing since : 2005
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hi .. the docotrs here ,, are not sure if i have lupus or not .. it has been years ,,, and i keep having all these problems ...i have several nodes on my thyroid, my lungs and i just had a biopsy on my right auxl, lympoh nodes.. that came back no cancer .. but i still have swollen nodes ,, under right arem .. i had blood came back abonoamal XXXXXXX again .. .. and i still have pain under my right arem .. and i have pain in my chest about rib cage , a cough .. swaeting alot .. ear hurst , and teeth some time .. score thraot .. and joint really hurt .. can u help
Posted Mon, 27 Aug 2012 in Lupus
Answered by Dr. Shanthi.E 8 hours later

Thanks for posting your query.

There are certain criteria for a person to be diagnosed with Lupus. Few important features will be presence of malar rash that is butterfly like, presence of high titers of XXXXXXX evidence of renal dysfunction and arthritis.

A specific test for SLE will be anti-dsDNA antibody. You can get this test done to rule out the possibility.

Do you have your Thyroid profile and a thyroid ultrasound done anytime? If so, can you please let me know about the reports?

It is good that your lymph node biopsy is normal. May I also know the XXXXXXX titers values?

The pain in your chest about the rib cage and right arm may be due to a muscular cause. Cough may be just an attributing factor to it.

Sweating is a normal phenomenon. Ear pain and sore throat can be due to bacterial throat infection.

Do warm saline water gargling thrice daily for 3 days. Simple analgesics like Tylenol will help you. It is available over the counter in the US.

A family history of cancer does predispose one to develop cancer, but it does not mean that every family member gets it.

You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

Awaiting your response.

Above answer was peer-reviewed by
Follow-up: Having swollen nodes on thyroids, pain in chest, cough and sweating. Biopsy done. Chances of lupus? 2 hours later
i have had several thyroid ultra sound ,, i also had a thryroid biospy - came back no cancer .. i have several nodles ,, a few large ones they tested .. i go once a year to have a ultra sound check .. but i keep thinking i gaine like 35 lbs in this last year .. and think somethink wrong with hormones ... maybe .. with thryoid .. what test do i have for that .. my doctor say im good .. im 53 years old .. abnormal immunlogical test (795.79) i had several - i had the lupusi guess it says review ,, anti - ssb la result 1 - anti-ssa 1 ANTI SM 1 ANTI-RNP RESULT 3 SEDRATE RESULT 8 RBC 4.19 L CHLORIDE 108 ANION GAP 6 C- REATYIVE PROTEIN 0.6 SED RATE ERYTHROCYE 40 SAYS I HAVE OSTEOPENIA WHAT DO U THINK
Answered by Dr. Shanthi.E 19 minutes later

Thanks for writing back and giving me the details.

Hypothyroidism can be a possibility in you as you have gained weight in the last year. You need to get fasting thyroid profile done which includes T3, T4 and TSH levels estimation.

The array of tests done on the antibody panel including anti-SSA, anti-SSB LA, anti-sm, anti-RNP are all detected in very low titers. These do not signify SLE in such low titers.

Osteopenia is known to occur at your age owing to calcium depletion. In addition, Hypothyroidism generally causes muscle and joints pain, and generalized weakness.

You may consider taking calcium supplements on a daily basis. It is available over the counter in the US.

Also, get the thyroid profile done as mentioned.

All said; Lupus is again a condition diagnosed clinically. If you can consult a good Rheumatologist, it would be ideal. If the cause is confirmed, steroids will help you.

Please do write back in case you have follow up queries to ask.

Above answer was peer-reviewed by
Follow-up: Having swollen nodes on thyroids, pain in chest, cough and sweating. Biopsy done. Chances of lupus? 18 hours later
so do you think i have the signs of Hypothyroidism ?? and possible they thought i had lupus ??? and should i get blood work up on my thyroid again ??? to check my levels ?? you know ,, i have all this pain in my groin ,, under my arm .. like acking pain .. could that be part of the signs of Hypothyroidism // thanks XXXXXXX
Answered by Dr. Shanthi.E 3 hours later

Thanks for writing back.

Your symptoms suggest a probable Hypothyroidism. I do not think you have Lupus at present. You may repeat the XXXXXXX titer after a year.

Yes, it is better for you to get your fasting thyroid profile done again. I am sorry that you are in pain. Yes, all these can be a part of Hypothyroidism signs.

I wish you get better soon and lead a healthy life.

If you have no more queries, you may accept my answer and write a review.

Take care.
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