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RE: Tonsils
Jan 21, 2002

Hello Doctor,

With regard to the previous posters question...

I've been reading much about tonsils and HIV infection. I was reading that if one adenoid in enlarged, then a physician should consider this highly suspect for HIV infection. Is this statement true? And would this also apply to tonsils?

Thank you!

Response from Dr. Feinberg

I don;t know where you read that, but it makes no sense to me. Lyphoid tissue, including tonsils and adenoids, can become swollen for dozens of different reasons. It is the symmetrical, non-painful, unexplained swelling that should make the physician think of a process involving the entire body, such as (but not limited to) HIV. Remember that even garden-variety strep throat can cause both tonsils to be enlarged at the same time, but in that cause the person would have a sore throat and fever. Getting hung up on a lymph node (or tonsil or adenoid) that gets swollen is a waste of energy, not a reason to be paranoid about HIV.

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