instruction: 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 healthy I dont feel anything except for the enlarged lymph nodes it was noted in the result histiocytic necrotizing lymphadenitis consider kikuchi fujimoto lupus adenitis correlation with serum studies for she is suggested so what to do I was advised to consult with rheuma doctor I hope you can help me thank you so much
output: hello have gone through the details submitted localised painless cervical lymphadenopathy kikuchi 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 she 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 she 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 ear seum lah done along with above in case your symptoms increase take care regards do geeta