Hydantoin may also produce lymphadenopathy as a side effect. Almost all patients with sarcoidosis demonstrate either generalized or hilar lymphadenopathy. The bilateral cervical nodes, when enlarged, are firm, rubbery, and discrete with little tendency to coalesce. Other symptoms include fatigue, cough, fever, dyspnea, and weight loss. Hyperglobulinemia and eosinophilia are common lab findings.
Some patients experience fever, anemia, weight loss, and hyperglobulinemia.
Appropriate management depends on the causative agent. Therapy is directed at the specific diagnosis, once established, and when appropriate. Contact primary medical doctor for follow-up, coordination of care, and further referrals as necessary. Contact surgery for procedures such as excision, incision, and drainage. Medicine is a constantly changing science and not all therapies are clearly established.