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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Epitrochlear Lymph Node With Increased Liver Enzymes?

Hi. My 18 yr old son noticed his left epitrochlear node swollen on June 15th while we vacationed in Cayman. He was on 40 mg accutane twice a day. He admitted to drinking while there. He had drastic increase in liver enzymes. He has been off accutane for a month. The numbers are back to normal now on July 22. However, he has lost 10% of his body weight and is tired all the time. What could be the cause of the node being swollen?
Mon, 19 Jan 2015
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General & Family Physician,  's  Response
According to the history given in the case, the symptoms and the lab findings are suggestive of some sort of liver disorders like Hepatitis A or B. The causes of isolated enlarged lymph node (epitrochlear) are many. In the setting of raised liver enzymes with a history of alcohol intake and significant weight loss of about 10% are indicative of some chronic disease which has to be ruled out by consulting the physician or gastroenterologist.
Regards!
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What Causes Swollen Epitrochlear Lymph Node With Increased Liver Enzymes?

According to the history given in the case, the symptoms and the lab findings are suggestive of some sort of liver disorders like Hepatitis A or B. The causes of isolated enlarged lymph node (epitrochlear) are many. In the setting of raised liver enzymes with a history of alcohol intake and significant weight loss of about 10% are indicative of some chronic disease which has to be ruled out by consulting the physician or gastroenterologist. Regards!