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Fever, swollen lymphnodes after having sex. Mouth ulcers, red patches on penis. Red cell distribution values above normal. Solution?

i had sex with my wife after next morning i had fever and after few days a swollen lymph gland in neck and under the jaw , a small one at my right hand above wrist .these don t irritate at all. Few months later i had these very small tiny red dots on some parts of my body. i have ulcers in mouth but that was a history now i feel fine. but sometimes i do feel that i have some red patches on my penis. my TLC DLC and ESR reports are normal. Only my Red Cell Distribution are above normal. What should i do??
Asked On : Sun, 27 Jan 2013
Answers:  1 Views:  51
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

An increased red blood cell distribution width above the normal range indicates a variation in the size of the red blood cells.
This variation is seen in anemias like iron deficiency anemia, thalassemia, sideroblastic anemia, and lead toxicity/ poisoning.
You need to get red cell indices done for more information.
For the enlarged lymph nodes, a fine needle aspiration needs to be done. This test samples cells from the enlarged lymph nodes and are stained to know the exact origin of the swelling and character of the cells.
The ulcers in the mouth can occur due to many reasons like apthous ulcers, infections, nutritional deficiencies, etc.
Red patches all over the body can also be due to many reasons.
Low platelet count can lead to pin head sized red spots.
Viral infections can also lead to red colored patches.
Consult your physician for clinical examination, relevant investigations (red cell indices, platelet counts, etc) and appropriate management.

Thanks and take care
Dr Shailja P Wahal
Answered: Fri, 12 Jul 2013
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