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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Lymph Nodes In Armpit, Groin, Neck. Vision Problems, Weight Loss, Limb Weakness, Fatigue. Have Lupus

If, what seems like a cyst, can be squeezed and bring fluid to the surface is it a sign that it is not of concern?
Background: 35 yr old female who has had swollen lymph nodes in the armpit, groin, & neck in the past 6 months. Also have occasional vision problems, weight loss, fatigue and occassional weakness of limbs which I will be seen by a neurologist for next week. Some other things over the past year but mostly concerned with the new lump in chest after having the other lymph nodes swollen this year and occasional elevated white blood cells without any signs of infection. Also, just in case, I was diagnosed with Lupus while pregnant which remained positive for an extended period after giving birthJan 2012 (treatment was daily injection of blood thinners while pregnant). Gall bladder was also removed March 2012
Mon, 8 Jul 2013
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Rheumatologist 's  Response
dear madam
generalized weakness, fatigue, weight loss can be explained on the basis of your underlying problem that is LUPUS. But the new lymph nodes can be of concern and requires proper evaluation. The investigations needed are CBC with peripheral smear, ESR, LFT, KFT, urine r/m, dsDNA, Complement C3/C4, and if needed biopsy of lymph node.
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Swollen Lymph Nodes In Armpit, Groin, Neck. Vision Problems, Weight Loss, Limb Weakness, Fatigue. Have Lupus

dear madam generalized weakness, fatigue, weight loss can be explained on the basis of your underlying problem that is LUPUS. But the new lymph nodes can be of concern and requires proper evaluation. The investigations needed are CBC with peripheral smear, ESR, LFT, KFT, urine r/m, dsDNA, Complement C3/C4, and if needed biopsy of lymph node.