It depends on the site of bilateral lymphadenopathy. If the lymphadenopathy is generalized, located at multiple sites, and is also bilateral, it usually indicates either an active autoimmune process—so a proliferative lupus disease, or it may indicate a generalized cancer like blood cancers, and Hodgkin's lymphoma.
Its not bilateral. It is on my right side (shoulder, neck, and armpit). I was tested for luekemia and lymphoma and both came back negative. I had a positive ANA and am being treated for Lupus. I also get them in the right side of my groin occasionally. I just found no information that stated it would be bilateral if its lupus. Only found that lymph nodes can be affected by the disease.
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