BMJ family highlightsBMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7397.1005 (Published 10 May 2003) Cite this as: BMJ 2003;326:1005
- Harvey Marcovitch, editor (firstname.lastname@example.org)
- BMJ syndication
Patients' reports of enlarged lymph nodes may be false
A physician examined 10 patients who fulfilled diagnostic criteria for chronic fatigue syndrome and reported swollen neck glands. No glands were palpable, so it might be that previously both patients and doctors have misinterpreted the tenderness of fibromyalgia as lymphadenopathy. The author urges caution in interpreting any published prevalence study of lymphadenopathy where the diagnosis was based on history alone. Predictably, nine of the patients had been investigated previously by other specialists for unexplained symptoms and seven have subsequently been referred by their general practitioners to another clinic.