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Dr. R. Bora
Dr. R. Bora, Doctor
Category: Health
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Experience:  14 years experience in the emergency room.
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My left supraclavicular lymph node biopsy (measuring 1.3cm)

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My left supraclavicular lymph node biopsy (measuring 1.3cm) pathology report says that I had a reactive lymph node with sinus histiocytosis, with blurring of the boundaries of the sinuses. It says that a single epithelioid granuloma was identified. I am a 25 year old female with >10lbs weight loss in the past 8 months, I currently weigh 92lbs and I am 5'2". I have had severe joint pain, fatigue, and chest pain. I have had a mottled skin like rash called livedo reticularis that comes and goes, and I have been very ill now for 4 weeks. I have had night sweats with fever. What does my pathology report indicate that would be consistent with my symptoms? My doctor says that I have a virus and that it will go away and I will be feeling healthy again soon. I am still concerned because I still have a lot of swollen lymph nodes that are not sore and I still feel sick.
Hello and welcome, I am happy to help you today.

I would suggest getting tested for Igm (Immunoglobulin M) for juveline rheumatoid arthritis.

Other possibilitis are low grade lymphoma.

You should get a CT scan of the chest and abdomen to look for abnormal lymph nodes inside the body which are nt otherwise visible. The characteristsics of the nodes on a Ct scan will tell you if you have a possibility for lymphoma.
Another related possibility is atypical TB caused by bacteria like AVM, different from that causing usual TB.

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