What Causes Hard Lumps On Elbows, Joints Pain, Severe Fatigue And Weight Loss?
Question: What is your opinion on this case? 20 year old female, previously healthy with history of bladder/yeast infections. 3 weeks ago, flu like symptoms for 5 days, developed large lump determined to be a lymp node at base of skull which was painful, caused headaches and blurry vision, specks in vision. Lymp nodes became enlarged over entire body, Developed increased heart rate continually, episodes of high blood pressure, extremely high, and even in the high range continually. Developed pain and inflammation of left collar bone, rib cage. Hard knots, supposedly lymp nodes and lumps on joints. Hard lumps on elbows, lower back on both sides. Has had a low grade fever (under 100) periodically. Extreme pain in joints and muscles. Neck pain has improved. Hip pain and feels like walking uneven and painful. Extreme fatigue. Slightly high white blood cells. HIV and additional sexually transmitted diseases are negative. Heart echo done due to chest pain, considered normal. Labs done to check for autoimmune disease have not returned. Weight loss over the last few months. Did have numbness in extremeties, ears and head. Numbness has improved but hands and feet feel on fire and ice is used to decrease pain.
Brief Answer:
Lymph node biopsy is required
Detailed Answer:
Hello, Madam.
I can certainly understand your concern.
I have worked through your query in detail.
At this point, it's very important to get histological examination of the lymph node through biopsy or FNAC.
It's important to rule out infectious mononucleosis, a viral infection.
Blood for atypical lymphocytes have to be sent.
Further management if any is largely based on test results.
Post your further questions if any.
Thank you.
Lymph node biopsy is required
Detailed Answer:
Hello, Madam.
I can certainly understand your concern.
I have worked through your query in detail.
At this point, it's very important to get histological examination of the lymph node through biopsy or FNAC.
It's important to rule out infectious mononucleosis, a viral infection.
Blood for atypical lymphocytes have to be sent.
Further management if any is largely based on test results.
Post your further questions if any.
Thank you.
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar