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

Answered by
Dr. Geetha Priyadarsini Kamminana
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Apr 01, 2020
Hi! I had enlarged lymph nodes on both sides of the neck. I sought consult and had a neck dissection and biopsy. I believe i'm healthy.I dont 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 is suggested.

So what to do? I was advised to consult with Rheuma Doctor. I hope you can help me. Thank you so much.

hello, Have gone through the details submitted

Localised painless cervical lymphadenopathy , Kikuchi's Lymphadenitis is a well known , though uncommon Idiopathic Lymphadenitis .Its a self limiting entity and will remit on its own

Its close Differential diagnosis is Lupus [SLE] Lymphadenitis , has to be ruled out

Any Joint pains ?

Any fever ? Any Myalgias , Fatigue ? Other region of lymph nodes like in arm pits , inguinal regions if enlarged , Just slide your fingers in these regions and see for any enlarged nodes ? Any Skin Rash ? any other systemic symptoms ?

If you have any of the above symptoms , You need to get Screened for SLE to rule it out ,ANA screening and them ANA profile

Else , stay cool , Dont even think about it , maintain good oral hygiene , Do warm water or salt water gargling frequently

If any of the above complaints appear positive , Do revert Get Peripheral Smear , ESR ,Seum LDH done along with above in case your symptoms increase

Take care Regards Dr Geeta

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