[43F] With tiny, hard, movable lumps on neck

Patient Description

A 43-year-old female has noticed tiny, hard lumps under the skin on the right side of her neck. These lumps are movable and become sore when touched. She reports approximately 20 such lumps, which she first noticed tonight. The patient has recently had a cold but does not believe the lumps are related to her lymph nodes. She is unsure about having a fever and reported generalized body aches, including bones and muscles, yesterday. She has a history of ulcerative colitis, diagnosed about 10 years ago, and is currently taking Suboxone, 8mg three times daily sublingually. She has an allergy to Benadryl and is not taking any other medications or supplements.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Lymphadenopathy: This is a condition where the lymph nodes become swollen, often due to an infection or inflammation. Given your recent cold, it's possible that your lymph nodes are reacting to this. Lymph nodes can feel like small, movable lumps under the skin and may become tender when touched.

    • Typical Treatment: Often, no specific treatment is needed, and the swelling will resolve as your body fights off the infection. If the swelling persists or is accompanied by other symptoms, a doctor might recommend further evaluation.
  2. Lipomas: These are benign (non-cancerous) fatty lumps that can form under the skin. They are usually soft, but can sometimes feel firm, and are generally harmless.

    • Typical Treatment: Lipomas usually don't require treatment unless they cause discomfort or cosmetic concerns. In such cases, they can be surgically removed.
  3. Dermatofibromas: These are small, benign skin growths that can feel like hard lumps under the skin. They are usually harmless and don't require treatment.

    • Typical Treatment: If they become bothersome, they can be removed by a healthcare provider.

It's important to note that while these are common causes, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Monitor the Lumps: Keep an eye on the size, number, and tenderness of the lumps. Note any changes or new symptoms.
  2. Rest and Hydration: Since you've had a cold, ensure you're getting plenty of rest and staying hydrated to support your immune system.
  3. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can be helpful for ongoing monitoring and evaluation.
  4. Avoid Excessive Touching: Try not to touch or press the lumps too frequently, as this can cause irritation or soreness.

What you should look out for

Seek medical attention if you notice any of the following:

  • The lumps increase in size or number rapidly.
  • You develop additional symptoms such as fever, night sweats, or unexplained weight loss.
  • The lumps become very painful or red.
  • You experience difficulty swallowing or breathing.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask


What are the common causes of lumps under the skin on the neck?

Common causes of lumps under the skin on the neck include swollen lymph nodes due to infections, lipomas (benign fatty lumps), and dermatofibromas (benign skin growths).


How can I differentiate between swollen lymph nodes and other types of lumps?

Swollen lymph nodes are often tender, movable, and may be associated with recent infections. Lipomas are usually soft and painless, while dermatofibromas are firm and may be slightly tender.


When should I be concerned about lumps under my skin?

You should be concerned if the lumps increase in size or number rapidly, become very painful, red, or are accompanied by symptoms like fever, night sweats, or unexplained weight loss.


Can a recent cold cause lumps to appear on my neck?

Yes, a recent cold can cause lymph nodes to swell as they react to the infection, which may result in lumps appearing on the neck.


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