HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Hard Lumps On Elbows, Joints Pain, Severe Fatigue And Weight Loss?

default
Posted on Fri, 7 Oct 2016
Question: What is your opinion on this case? 20 year old female, previously healthy with history of bladder/yeast infections. 3 weeks ago, flu like symptoms for 5 days, developed large lump determined to be a lymp node at base of skull which was painful, caused headaches and blurry vision, specks in vision. Lymp nodes became enlarged over entire body, Developed increased heart rate continually, episodes of high blood pressure, extremely high, and even in the high range continually. Developed pain and inflammation of left collar bone, rib cage. Hard knots, supposedly lymp nodes and lumps on joints. Hard lumps on elbows, lower back on both sides. Has had a low grade fever (under 100) periodically. Extreme pain in joints and muscles. Neck pain has improved. Hip pain and feels like walking uneven and painful. Extreme fatigue. Slightly high white blood cells. HIV and additional sexually transmitted diseases are negative. Heart echo done due to chest pain, considered normal. Labs done to check for autoimmune disease have not returned. Weight loss over the last few months. Did have numbness in extremeties, ears and head. Numbness has improved but hands and feet feel on fire and ice is used to decrease pain.
doctor
Answered by Dr. Prasanna Heijebu (6 hours later)
Brief Answer:
Lymph node biopsy is required

Detailed Answer:
Hello, Madam.

I can certainly understand your concern.

I have worked through your query in detail.

At this point, it's very important to get histological examination of the lymph node through biopsy or FNAC.

It's important to rule out infectious mononucleosis, a viral infection.

Blood for atypical lymphocytes have to be sent.

Further management if any is largely based on test results.

Post your further questions if any.
Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Hard Lumps On Elbows, Joints Pain, Severe Fatigue And Weight Loss?

Brief Answer: Lymph node biopsy is required Detailed Answer: Hello, Madam. I can certainly understand your concern. I have worked through your query in detail. At this point, it's very important to get histological examination of the lymph node through biopsy or FNAC. It's important to rule out infectious mononucleosis, a viral infection. Blood for atypical lymphocytes have to be sent. Further management if any is largely based on test results. Post your further questions if any. Thank you.