JOE YOUR THE BEST!!!!!!!!!!!!
Jan 28, 2010
DOCTOR JOE MY QUESTION IS ABOUT generalized lymphadenopathy I WAS TOLD THIS IS WHEN TWO OR MORE PARTS OF THE BODY HAVE LYMH NODES THAT ARE SWOLLEN..... MY QUESTION IS DO THE PARTS HAVE TO BE SWOLLEN AT THE SAME TIME? AND IS IT COMMON NOT TO HAVE SWOLLEN LYMH NODES IN ARS BUT START GETTING THEM A YEAR LATER? PLEASE ANSWER QUESTION FULLY....LOL JAMES
Response from Dr. McGowan
Swollen lymph nodes are a common complication of HIV infection. The lymph nodes are parts of the immune system where the virus often meets up with the CD4 lymphocytes, so they are prime targets for the virus. The reason you get generalized swollen lymph nodes (or lymphadenopathy) is because the virus spreads throughout the body through the blood. No you do not have to have all the areas swollen at once, they can move around, however having persistently swollen lymph nodes in one part of the body and not in others is a more worrisome finding and would prompt a search for a localized infection (due to bacteria or TB, etc) or a type of tumor called lymphoma. Many people get diffusely swollen lymph nodes with ARS(acute retroviral syndrome) it is one of the most common findings, however, other conditions such as mononucleosis can cause similar findings so the diagnosis is often overlooked. Swollen lymph nodes can be an early or later sign of HIV infection, some people have them for many years.
Hoper that helps, Joe
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