[Question #3066] Follow up

40 months ago
Dr Handsfield, i have a question. I went with my wife to follow up the lymph nodes under the  ampit and the endocrinologist also saw a few ubder the jaw, the will biopsy the one under the ampit. 
My question os, could having lymph nodes in both parts of the body without any other symptom be hiv related?
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Welcome back to the Forum.  As you probably know, Dr. Handsfield and I answer questions interchangeably and today I happened to pick up your follow-up question.  I did review his interaction with you from last week and agree with all that he said.  To re-iterate, the exposure that continues to worry you was a no risk event and there is really no reason to continue to worry about it.  Further the symptoms you described in no way suggested the ARS. 

I am confident that you wife's lymph node will not suggest HIV or any other STI which came from the exposure you have described.  Everyone has lymph nodes widely spread over their entire body.  Some lymph nodes are in places which are easy to feel- these places include under the jaw, in  the neck, in the groin area and under the armpits.  Further, lymph nodes can swell for many different reasons. Some of those reasons are as simple as fungal infections of the feet causing swollen nodes in the groin or a viral sore throat of dental cavities causing swollen lymph nodes under the jaw.  Once the nodes are involved they may persist for long periods of time.  Thus, lymph node swelling is a non-specific finding.  Given the information you have provided however, you really should not worry that the swollen lymph node that was noted is due to HIV. 

I hope this explanation and Comment is helpful. EWH
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40 months ago
Dr Hook, they were a few under the jaw and a fee under the ampit not just one. One is suspicious for biopsy. Imy question was that given that they found in 2 different parts  would not have to worry about it?
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
I have no concerns that these lymph nodes are due to HIV.  It is typical for more than one lymph node to be palpable.  Please do not worry about HIV related to the exposure you described.  Really.  EWH 
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40 months ago
Thanks Doctor, i just  was scare that i gave this to the most importan person in my life. I trusted you the forst time 6 months ago and never thought about that until this week that everything came back and after that my wife  sonogram and posterior rutine exam and i  always red to be carefull with enlarged lymph nodes in more that one part of the body (not local). Thanks i will try to relax at least until the biopsy is done.
Thanks again for all your help and pacience
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
I'm pleased my assurance has been helpful. That is part of our goal on this Forum.  At this point we should wait to hear what the biopsy shows.  I will try to keep the thread open for a few weeks in the hope that you will let us know what the biopsy shows.  I am confident that it will NOT show HIV but I also hope that it will provide an answer which is helpful to you and your wife.  EWH
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40 months ago
Dr Hook, one more question? Can a biopsy show hiv, i have not done any test over the last yes, but i never knew i biopsy of a node could study also that
Thanks
40 months ago
One more thing to mention, the lymph nodes we not palpable just seen with the sonogram, and they were larger than 1cm,  is that relevant?
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
This makes them still less likely to be serious.  This is of no other consequence.

There will be no more replies to this thread.  I hope you will post the results of the biopsy in the next few weeks.  EWH
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40 months ago
Thanks i will post the results hopefully wont show hiv nor any other mallignant thing. Thanks
39 months ago
Dr Hook, i just wanted to mention we went for a second sonogram regardig my wife lymph nodes under the ampit and the doctor said that the lymph nodes were not suspicious a nd order a follow up in 3 months. So no bispsy was needed. I just believe the it was casual to have lymph nodes under the ampit and under the jaw at the same time.
Thanls for all your explanations and patiente
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
This is not unexpected to me.  Glad to hear it.  I hope you will not worry further.  This thread will now be closed.  EWH
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