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» LymeNet Flash » Questions and Discussion » Medical Questions » Hodgkins or Lyme?

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Author Topic: Hodgkins or Lyme?
looncountrygal
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Hi all! Need your input. My son's wife went to her doctor today to get checked out because she was afraid she had been infected with Lyme by my son.

Those of you that responded to my last posting will remember that he has not been diagnosed as yet and that we are having trouble getting the doctor to seriously consider that it is Lyme Disease.

Her doctor was familiar with my son's case but is not his doctor. They did the same blood work on her to see if she will have similar results as my son.

They admitted that they do not have the means to test for Lyme and that is why my son has not been tested yet.

They said the rheumatiod specialist has that capability(my son's appointment is Nov 5th) and that he is a LLMD. Does that sound right?

Anyway, if her blood work has similar results they will know it is Lyme and that she has been infected.

If not, they think he may have Hodgkins because the doctor had a patient two years ago with supposedly the same symptoms my son has and he had Hodgkins.

Everything I have found so far on Hodgkins does not mention the severe joint pain (specifically knee joint pain) my son has been experiencing.

His symptoms still seem to me to point to Lyme and I am afraid my son and his wife are hoping it is Hodgkins because it is not as scary as it being Lyme.

Has anyone been misdiagnosed as having Hodgkins when it was actually Lyme?

My son is still not taking the steroids the doctor prescribed (thanks to your responses on the subject) but it is tempting for him when he knows it will relieve the pain and that the doctors are telling him it may not be Lyme.

Need your input please.


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Kara Tyson
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Any Dr. can claim to be Lyme--Literate. But usually we reserve the term LLMD to Dr.'s who are refered to by other Lyme patients. I would talk to some of this Dr.'s Lyme patients (if he has any).
Posts: 6022 | From Mobile, AL | Registered: Apr 2001  |  IP: Logged | Report this post to a Moderator
mfrfr
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Long before my husband was diagnosed with lyme disease we were looking at Hodgkin's as a possibility.

He had been having severe pain in his abdomen due to his spleen being enlarged. From his symptoms, bloodwork and spleen enlargement, he was referred to an oncologist/hematologist. They told us lymphoma was a possibility. From there he underwent numerous tests including a bone marrow biopsy. His biopsy was normal. None of the diagnostics pointed to lymphoma and they could find no tumor.

He had abnormal blood work, but the oncologist could not make a diagnosis. My husband was a true mystery to him. He reccomended removal of his spleen due to the risk of it rupturing (it was 3 times the normal size).

I remember that day that the oncologist came in the room after his surgery. He told us the spleen was clear and all he could guess was that my husband had a rare blood disorder and that it was taken care of with the splenectomy. They could run millions of tests and lots of money later maybe have a diagnosis, or he could just recover from the surgery and be on his merry way. Within the next year he got worse.

I can't tell you how many times my husband wished it was Hodgkin's and not lyme.

My only advice from this experience is that if the signs don't point to anything but lyme, then odds are it's lyme.

About the Lyme test, you can order the test kit yourself from Igenex. Bring it to your doctor and request the IgM and IgG western blot.

After years of runaround from the doctors, this is what we did. Even after his test results came back positive, we had to find a new local doctor that would accept them and work with us with an llmd.

I'm sorry you all have to go through this. Good luck with a diagnosis. I'll keep your family in my thoughts.


Posts: 25 | From CO | Registered: Oct 2003  |  IP: Logged | Report this post to a Moderator
Rita
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I don't think your November 5 appointment is LL because ducks don't refer patients to LLMDs. They just refer them to other ducks. Does anyone know a LLMD near them?

Because of the joint pain, I'm thinking Lyme.

Some believe Lymphoma can be a complication of Lyme so it's best to get it all checked out.


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Neil M Martin
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Great post, looncountrygal.

I agree with Rita et. al. You have described a situation needing a Lyme Lit. Dr.

There are good posts on this subject. Have you searched them?

In Jan 1999 a LL Dr. told me I had Lyme. The HMO docs denied it, suspecting instead that my lag rashes were T cell cutaneous Lymphoma (non Hodgkins "mycosis fungoides").

Today, five years later, I look back at a combined three years' of IV antibiotics. My Lyme is better and my leg rashes are almost gone.

But June 7, 2004 a surgeon removed a plum sized lymph node from my left armpit. The Path lab "totally shocked" found no evidence of NHL but did not respect my request to send a piece of the Lymph node to IGeneX.

Instead they said some node lymphocytes were consistent in appearance with Reed Sternberg cells (diagnostic for H.D.). So my HMO onc ordered a bone marrow biopsy (it was -neg).

I have heard of cases where HD symptoms went away after persons were treated for Lyme.

HD and Lyme may cause spleen and lymph node enlargement, fatigue, muscle aches, itching, rashes and drenching night sweats.

I too have not found a link between HD and joint pain.

HD is diagnosed via detection/biopsy of an enlarged lymph node. Stage I is 1 enlarged node. Stage II is more than one.

HD at all stages can be "cured" by chemo but that may cause other evils and "cured" HD may return.

Mfrfr: Before they went after your hubby's spleen did they look for enlarged lymph nodes? (A PET scan can confirm.)

In her Widening Circle, Polly Murray said she had 3 chemo sessions but stopped due to fatigue. I also may be too weak for MOPP chemo which my HMO onc recommends.

Of course it in not advisable to do chemo if you have a serious infection. Which my HMO will not admit in my case. So is difficult situation. I have Rubra vera, for which I get phlebotomies.

If more Lymph nodes enlarge I may consider MOPP, less prednisone. HD tends to be fatal. Lyme just makes you wish you were dead.

Neil

[This message has been edited by Neil M Martin (edited 10 October 2004).]


Posts: 697 | From Tucson, AZ USA | Registered: Apr 2002  |  IP: Logged | Report this post to a Moderator
rossphoto
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I see that this post is several years old but I am having a similar situation discussed in this thread.

After a year of a large list of symptoms I have been diagnosed with Lyme disease and Bartonella by an LLMD who ordered IgeneX tests. A few months ago before I knew anything about my Lyme, I noticed a somewhat firm lymph node in my neck and right away went to the ENT. He believe the node was "small" and put me on antibiotics for 10 days. The node did not decrease in size and I then had a CAT scan with contrast of my neck which came back negative reporting that there were no enlarged nodes.

I have now had one month of oral antibiotic treatment from my LLMD and the node is still there in my neck. It sometimes decreases in size but has never entirely disappeared. I went back to the ENT and saw a different doctor who again thought it was nothing to be alarmed about but agreed to perform a fine needle biopsy of the node which i will receive in a few days.

I am 23 years old and am extremely worried that the Lyme may have caused some kind of Lymphoma in my body. I hear all the time that some believe there is a connection between Lyme and Lymphoma. I do have extremely itchy skin which usually feels like my entire body is being pricked and poked with tiny little needles. It is sometimes induced or intensified when I begin to overheat. I also have some chest and back aches and discomfort. I don't not have any other Lymphoma symptoms (night sweats, low grade fever, weight loss). In fact my temperature is usually around 95.5 - 96.7 degrees on a daily basis.

I also sometimes feel an enlargement in my left abdomen and am not sure if it could be my spleen or another lymph node.

Is it possible that Lyme or Bartonella can cause my node to stay enlarged and firm even though I am receiving a combination of 5 antibiotics at once? Is it possible that I have been mistaken for having lyme when the borrelia may actually be indicating cancer? Can Lyme and co-infections cause cancer within one year of being infected? Very worried, this disease seems never ending.

Thank you for your time. Much appreciated.

IgeneX IgM Western Blot:
18 +
**23-25 -
**31 +
**34 +
**39 IND
** 41 ++
**83-93 -

IgeneX IGG Western Blot
**23-25 +
**31 -
**34 -
**39+
**41++
**83-93-

Posts: 28 | From NYC | Registered: Sep 2010  |  IP: Logged | Report this post to a Moderator
   

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