Question: Hello. I've been struggling with randomly swollen lymph nodes for years. This year has been worse and I've had cervical swelling as well as a lump on the inside middle portion of my thigh. A PA said it looked like a swollen node, but my MD thought it might be a cyst. There has been no pain or redness and it grows and shrinks. Two CBCs have shown no infection or abnormalities. I feel so fatigued all the time and am frequently dizzy. I feel general malaise like right before you get sick, but nothing ever develops. I've also had pityariasis roses and other random rashes over the past year. They keep putting me on steroids, but this feels like a bandaid. Does anyone have any ideas?? I'm starting to have more bad days than good and I'm so frustrated. Thanks for your help.

No fine needle aspiration or excision was done. No biopsies on anything. They eventually always shrink back down and my bloodwork is always normal. Last year my CRP level was slightly elevated, but nothing alarming he said. I've tested negative for CMV, but positive for previous infection of EBV. My tests are negative for TB, Lymes, and Mono. I've had no night sweats or weight loss. My liver and spleen don't seem enlarged and there's no pain. Only steroids are given to calm my body down, but it's always a temporary fix. My symptom list is as follows:

Swollen lymph nodes that are intermittent, but large enough to cause pressure and pain in my neck.ive had swelling behind my ear, side of my neck, lump when I swallow, and inside of upper thigh.

I feel no aches, but feverish often. I check my temp and it's only ever around high 86F. My normal is 97.3.

I am very tired!! Especially when I exert myself, but it's manageable...not missing work except for appointments.

I'm dizzy often and feel my heart beat faster when I do stairs, loading things, etc. my blood pressure is always 115/70 range at Doctor's, but lower when I'm not stressed.

I've had rashes on my whole upper trunk for months (PR) last year, on my neck intermittently for the last year (given an anti fungal but it keeps returning) and I just had a large rash on my right arm (forearm and upper).

I have a lot more headaches. I've suffered from migraines for years and these are similar, but also I feel them in he back of my head.

I have some tingly in my hands and feet, but no major loss of feeling.

Should I ask for a biopsy next time or a referral to an autoimmune specialist? Thank you!!