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Mono or Lymphoma?
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Topics covered include , breathing difficulties, feeling cold, cough, diarrhea, dizziness, fainting, fever, indigestion, itching, nausea, numbness, pain (chronic), paralysis, rash, sweating, swelling, urination problems, and vomiting.

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Mono or Lymphoma?

3 mths ago, I started felt dizzy, had problems getting to sleep, had a few mild night sweats & felt lethargic.My Dr did a CBC which was normal & sent me for cat scans of my head which came back normal. 3 weeks ago, I noticed what appeared to be a single hive on my shoulder before I went to bed. It was gone the next morning but I woke up with an intense itch all over. No rash or redness. The itch lasted 7 days before I went to the doctor... after the obvious questions of allergies, etc he gave me a cortisone shot & itch pills, which I didnt take because the itch was gone shortly after the shot. The itch came back 5 days later and lasted three days. Then I started feeling fatigued to the point I would doze off at my desk at work.I went back to the dr and told him my concerns about lymphoma. He did CBC and a test for mono while I waited. CBC showed an elev WBC. Mono test was negative. Not sure what kind of mono test,but it was while I waited.Days later the rest of the bloodwork came back and it was positve for EBV antibodies.They said the test showed something about a second occurence. I responded that I never knew I had a first occurence. I have not had a sore throat, fevers that I know of or swollen glands or ab pain. So I was surprised at the mono diagnosis especially with the negative mono test in the drs office.A week later, I am itching again, have what appears to be a couple other hives. I now noticed a slight swelling just under my jaw on the left side.This morning, I did heavy lifting and my palms & fingers got itchy, turned bright red and splotchy. I havent seen any info that says mono causes itching unless it is accompanied by a rash & antibiotics. The itching, fatigue, dizziness, the swelling and night sweats still have me concerned about hodgkins or some type of blood cancer. Now my feet feel like they are burning. Im looking for maybe a second opinion & not sure where to turn or what kind of dr to see. Do you have any advice or suspicions
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Difficult to answer without evaluation nor physical exam.  

The EBV antibodies are a more sensitive test than the monospot, and it is possible that the first test may have missed a case of mononucleosis.  

The itching and rashes can be evaluated by a dermatologist and allergist.  Biopsy of the skin can be done for a more definitive diagnosis.

If lymphoma is suspected, further workup can be discussed.  This can include a biopsy of suspicious lymph nodes, tests for hepatitis and HIV, an abdominal/pelvic CT scan as well as a chest x-ray.  

The paresthesias and burning can be evaluated by a neurologist.  Peripheral nerve disease can be consider with an EMG to confirm a diagnosis.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
4 Comments
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Avatar_n_tn
I think I can attribute the burning feet to edema maybe?  Also Im 42.
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Avatar_f_tn
Ihelp Me ,                please follow up on constant blood work ups and the biopsy of the swollen gland and or lymph node. Keep going back until you know. Know for fact that the problem isn't something a skin cream can help and or extra sleep will cure. See a Hematologist. If anything he or she might send you after all the testing is completed to an Infectious Disease Doctor, meaning parasites. Or a dermatologist , We know more about ourselves than we believe . W~
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Avatar_n_tn
My single, 35 yr. old son has been exhibiting the same symptoms for 2 months.  hives, fatigue, wooziness, night sweats.
Have you be diagnosed yet?  We are still attempting to get an appointment with a Dr. asap.  He is getting worse and there are 200 miles between us.  I am very worried about him.
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