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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes enlarged lymph nodes above my collarbone?

I've had enlarged lymph nodes under my jaw for a year. Now I have more enlarged lymph nodes above my collarbone on both sides, plus I believe I have a large on under my left armpit. I frequently run low-grade (100 degrees F), and am very fatigued a lot of the time, with much sleep required. I did get a FNA on one of the lymph nodes under my neck aroun 8 months ago, and it came back negative. Should I worry about these additional ones? Thank you.
Mon, 4 May 2015
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Infectious Diseases Specialist 's  Response
Thanks for your query at HCM.

I understand your concern and situation.


You are having low grade fever and lymphadenopathy. The FNAC was negative. I suggest you to get your early morning sputum examination for ZN staining and mycobacterial culture to be done for 3 consecutive days. Take an ultrasound guided FNAC and get tested for cytology, ZN staining, PCR for TB and culture for TB to establish diagnosis. Till then eat protein rich and balanced diet with multivitamins and calcium supplements. Yes it is a cause of worry and testing needed.

Take care.
Best of health
Dr. Sheetal Verma
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What causes enlarged lymph nodes above my collarbone?

Thanks for your query at HCM. I understand your concern and situation. You are having low grade fever and lymphadenopathy. The FNAC was negative. I suggest you to get your early morning sputum examination for ZN staining and mycobacterial culture to be done for 3 consecutive days. Take an ultrasound guided FNAC and get tested for cytology, ZN staining, PCR for TB and culture for TB to establish diagnosis. Till then eat protein rich and balanced diet with multivitamins and calcium supplements. Yes it is a cause of worry and testing needed. Take care. Best of health Dr. Sheetal Verma