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Suggest Treatment For Swollen Nodes

Posted on Mon, 21 Apr 2014

Question: I have central nervous system sarcoidsosis. I have swollen nodes which the doctor says is caused by the disease. I think I should have a biopsy just to be sure. What do you think?

Answered by Dr. Sudhir Kumar (8 minutes later)

Brief Answer: I agree with you. Detailed Answer: Hi, Thank you for posting your query. I have noted your details, and agree with your view. It is possible that the nodes could be a part of sarcoidosis, however, doing a biopsy would confirm it. A confirmed diagnosis would help plan the treatment with confidence, especially, as we need to use steroids for a long time. Mainly, we need to exclude infection as a cause of swollen nodes. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 minutes later)

Which kind of doctor should I ask to do a biopsy?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer: A general surgeon. Detailed Answer: Thank you for getting back. You could ask a general surgeon to do the lymph node biopsy. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar