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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Lymph Nodes On The Neck With Joint Pain?

I m a 40yr old white female who has had swollen lymph nodes in my neck since january. The swelling in my neck causes my voice to be hoarse. I also have joint pain in my hands, knees, and elbows. I feel tired alot and feel like I have the flu. I have no fever with this. had numerous blood work, and ctscan done. blood work shows parvovirus lgG 4.28 and lgM norm. Also EBV Antibody to viral capsid lgG was positive, anitbody to nuclear lgG neg also antibody to viral lgM neg. my WBC has been fine; no sign of infection, no lyme disease either. Getting really frustrated. I m tired of feeling this was and the joint pain. ENT showed nothing in throat. Can you give me your thoughts please.
Wed, 14 Jan 2015
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General & Family Physician 's  Response
A hoarse voice with a history of parvovirus infection or atleast residual antibodies to parvovirus may indicate some thyroid involvement. Kindly get a thyroid profile done-T4,T3 and TSH as a thyroid inflammation can also lead to swollen lymph nodes.
Hope this helps. Kindly get back to me with reports and we can plan our way forward after that.

Dr Arun A
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What Causes Swollen Lymph Nodes On The Neck With Joint Pain?

A hoarse voice with a history of parvovirus infection or atleast residual antibodies to parvovirus may indicate some thyroid involvement. Kindly get a thyroid profile done-T4,T3 and TSH as a thyroid inflammation can also lead to swollen lymph nodes. Hope this helps. Kindly get back to me with reports and we can plan our way forward after that. Dr Arun A