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Enlarged rubbery palpable anterior cervical lymph nodes. What is the meaning?

HI. MY SON IS 3 YEARS OLD .WE NOTICED IN HIM ENLARGED RUBBERY PALPABLE ANTERIOR CERVICAL AND DEEP CERVICAL LYMPH NODES .THERE IS AT TIMES HISTORY OF COUGH . HIS ESR IS 35 MMLHR AND PERIPHERAL SMEAR SHOW SLIGHT INCREASED PLATELET CBC SHOWED ATYPICAL LYMPHOCYTE AND MONOCYTE ON THE UPPER LIMIT .PLEASE TELL ME WHAT IT COULD BE
Asked On : Sun, 23 Sep 2012
Answers:  2 Views:  217
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General & Family Physician 's  Response
Sep 2012
Hi, welcome to HCM I am Dr Das
First of all, you did not tall us about the other clinical history like spleenomegally .
From your history, i can suggest you don't take this casually. First of all go for another peripheral blood study for the atypical cells. If needed do a flowcytometric analysis . The blood picture may sometimes caused by viral infection. But it has to be clarified .
Answered: Sun, 23 Sep 2012
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Internal Medicine Specialist Dr. Prasad Akole's  Response
Dear friend, welcome to HCM!

Does he have fever, sweating, sputum?
Cough with lymphadenopathy is due to various causes. But need to consider tuberculosis, infectious mononuclesosis, lymphoma as top differentials. Rubbery nodes are typical of lymphoma.
Please get him evaluated thoroughly with an Xray chest, PBS, sputum for AFB (if any produced) and a paediatric consultation.

Take care and please keep me informed of your progress.
Good Luck!
I hope to have answered your query satisfactorily.
Thank you!
Answered: Wed, 26 Sep 2012
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