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Swollen ankle and neck. No injury. Ultrasound showing a cyst. Proper diagnosis? Have patchy thyroid

I had a swollen ankle, no injury, and was sent for blood tests.
Came back with positive Ana 1:1240 homogenous/t... Pattern
VH been referred to a rheumatologist. No appointment yet.

Also had a swollen bit in my neck. Had this checked via ultrasound 5yrs ago and told it was a cyst. Had grown so mentioned it to my dr and sent for an ultrasound.
Radiographer said today it's not a cyst but is a swollen angry lymph node. Hard, not sore but moveable. There are also several smaller ones down my neck (all on same side) that showed up too.
And a patchy thyroid.

I know it's hard to tell without further tests but.......????
Asked On : Sat, 27 Apr 2013
Answers:  1 Views:  35
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General & Family Physician 's  Response
Hi and thanks for the query,
Swollen lymph nodes and joint pain deserve a critical evaluation. they might be linked as well as not linked. Depending on the sequence of the evolution of the symptoms, knowing exactly what preceded the other could be a gateway in solving this confusion. Positive anti nuclear antibodies very suggestive of systemic lupus erythematosus or other autoimmune disease. this shall however require the opinion of a rheumatologist. Swollen lymph nodes could at times be observed in autoimmune conditions, but more severe conditions must be excluded first. Lymph node TB , lymphomas deserve a formal exclusion, through lymph node biospies, other blood tests and scans depending on the past history, clinical evaluation and appreciation of the internist.
I therefore suggest you book an appointment with your internist and/ rheumatologist for a more detailed evaluation and appropriate management plan.
thanks and best regards,
Luchuo, MD.
Answered: Sat, 27 Apr 2013
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