A member asked:

3 yr old has a big swollen lymph node on one side of neck that has been there formonths. blood work normal.purple circles under eyes?possibilities?

4 doctors weighed in across 3 answers
Dr. John Chiu answered

How big?: Although enlarge glands are not uncommon among young children, if the node is much larger than a buck- shot size , ask your doctor if he needs a biopsy even if the blood work was normal. The dark circles under the eyes suggests that he may have nasal obstruction often caused by allergies.

Answered 10/6/2015

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Dr. Amrita Dosanjh answered

Specializes in Pediatric Allergy and Asthma

Mgt: I hope that he has had a TB test and consultation with an ENT specialist. They can perform a biopsy as indicated. Other testing can also be performed at that time, including cultures. If he has had any animal bites or scratches, please let your PCP know.

Answered 10/6/2015

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Dr. Christine Hom answered

Specializes in Pediatrics

See your doctor: A small persistent lymph node is common in small children. Larger or growing lymph nodes may be of concern. Repeating lab tests, physical exam by the same doctor is important.

Answered 11/19/2015

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