HomeAnswersRheumatologylymphadenitisCan a rheumatologist diagnose the cause of enlarged lymph nodes from biopsy reports?

Kindly diagnose my condition based on the biopsy report done for enlarged lymph nodes.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At April 1, 2020
Reviewed AtDecember 26, 2023

Patient's Query

Hi doctor,

I had enlarged lymph nodes on both sides of the neck. I sought a consult and had a neck dissection and biopsy. I believe I am healthy. I do not feel anything except for the enlarged lymph nodes. It was noted in the result Histiocytic Necrotizing Lymphadenitis consider:

1.Kikuchi-Fujimoto

2.Lupus Adenitis

Correlation with serum studies for SLE (Systemic lupus erythematosus) is suggested. So what to do? I hope you can help me. Thank you so much.

Hello,

Welcome to icliniq.com.

I have gone through the details submitted. Localized painless cervical lymphadenopathy, kikuchi's lymphadenitis, is a well-known, though uncommon idiopathic lymphadenitis. It is a self-limiting entity and will remit on its own. The close differential diagnosis is lupus lymphadenitis. Do you have any joint pains, fever, myalgias, fatigue? Do you have enlarged lymph nodes in the armpits, inguinal regions? Just slide your fingers in these regions and see for any enlarged nodes? Do you have any skin rash and any other systemic symptoms? If you have any of the above symptoms, you need to get screened for SLE (systemic lupus erythematosus)to rule it out, ANA (antinuclear antibody)screening, and their ANA profile. Do not even think about it. Maintain good oral hygiene. Do warm water or saltwater gargling frequently. If any of the above complaints appear positive, do revert. Get peripheral smear, ESR (erythrocyte sedimentation rate), serum LDH (lactic acid dehydrogenase), along the above in case your symptoms increase.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Geetha Priyadarsini Kamminana
Dr. Geetha Priyadarsini Kamminana

Internal Medicine

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