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[|Human|] 31 yr M ,generally healthy, hace had a swollen cluster of lymphnodes on the left side of my neck. They have been that way for years now, Dr not really concerned since bloodwork is consistent with no elevated white count. Recently my scalp has broken out in what seems like foliculites and those lymph nodes have become even larger, easily visible when I turn my head to the right. At what point should I be concerned?
[|AI|]  Hi.LN cluster for years - growing with scalp infection. In the first place I would advise you to get the scalp infection and that in the lymph nodes(LN) cleared with appropriate antibiotics under Doctors supervision and Prescription. Once this is settled you may go for FNAC- fine needle aspiration cytology of the lymph nodes. I'd this is inconclusive please go for excision of the lymph nodes for a proper biopsy report. Blood picture alone has no role in diagnosis of LN. Proper diagnosis is important as many diseases like tuberculosis can be dormant for years.