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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unexplained Weight Loss, Low Grade Fever, Low BP. Ultrasound Shows Kidney Cyst. Worried

I am 34 yr old female, suffering for 8 months now unexplained weight loss , recurring low-grade fever 99.2 - 99.7, WBC , RBC , and platelets are lowest end of normal in CBC, blood pressure very low 99/66, general weakness, very tired, enlarged lymph node in left armpit and several in groin....abdominal ultrasound found small cyst on kidney, pelvic showed collapsing hemorrhagic cyst on right ovary, chest x-ray normal. Nobody has been able to figure this out....I am very worried.
Thu, 20 Sep 2012
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Internal Medicine Specialist 's  Response
HI,
Wecome to HCM
Un explained weightloss of 8 months along with low grade fever ,generalized wekness warrants urgent attention, I hope you have been examined and investigated simultaneously.
A Low blood count of WBC,RBC and Platelet is called Pancytopaenia along with enlarged Lymph nodes possibilities may be some kind of hematological disorder like Aplastic Anemia,Mylodysplastic syndromes ,Lymphoid malignancy or Hodgkin lymphoma,or Atypical Infection HIV all these must be kept in mind while trying to investigate such case.
Kindly Consult a Haematologist and Surgeon and go for Lymph node excision Biopsy I hope it will give clue to diagnosis.
If required a Bone marrow Biopsy may be performed
Once cause is known treatment may be planned accordingly.
Best of Luck
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Unexplained Weight Loss, Low Grade Fever, Low BP. Ultrasound Shows Kidney Cyst. Worried

HI, Wecome to HCM Un explained weightloss of 8 months along with low grade fever ,generalized wekness warrants urgent attention, I hope you have been examined and investigated simultaneously. A Low blood count of WBC,RBC and Platelet is called Pancytopaenia along with enlarged Lymph nodes possibilities may be some kind of hematological disorder like Aplastic Anemia,Mylodysplastic syndromes ,Lymphoid malignancy or Hodgkin lymphoma,or Atypical Infection HIV all these must be kept in mind while trying to investigate such case. Kindly Consult a Haematologist and Surgeon and go for Lymph node excision Biopsy I hope it will give clue to diagnosis. If required a Bone marrow Biopsy may be performed Once cause is known treatment may be planned accordingly. Best of Luck