A 27 year old female with cervical lymphnode swelling

March 10, 2022

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A 27 year old housewife came to OPD with chief complaints of swelling of lymph nodes in neck region since 5 months, loss of appetite since 4 months, Hair loss since 4 months, angular chelitis and tongue fissures since 4 months

HISTORY OF PRESENTING ILLNESS

Patient was apparently asymptomatic 5 months back then she developed Swelling of lymph nodes in the neck which started on left side then to right side in November the nodes are enlarged to such an extent even the patient can palpate them.In November 2021, she first developed oral ulcerations, scalp lesions for which she used medications which eventually subsided over a month. She eventually developed tongue fissures and Angular chelitis for which she started taking B complex.

She was even diagnosed to be hypothyroid then and was started on Tab thyronorm 25mcg

For bilateral cervical lymphadenopathy FNAC was done, the report said Reactive lymphadenitis. This was even sent to CBNAAT and it turned out to be negative.

She apparently lost appetite and weight over these 5 months. According to her husband she lost about 10 kgs in these 5 months.

she also presented with the complains of difficulty in swallowing since 3 months and no improvement of her fissured tongue or Angular chelitis. She also easily gets tired.