[47F] Experiencing neck rash, night sweats, and fatigue

Patient Description

A 47-year-old female presents with a persistent non-itchy, pinky/red rash on both sides of her neck, shaped somewhat like triangles and not raised. She has been experiencing this rash for several months without any noticeable triggers. Additionally, she reports night sweats ranging from once a week to nightly, resulting in waking up drenched, which has been occurring for approximately three months. She has also noted a weight loss of about 5 pounds over the past two months, occasional mild joint pain, and loose bowel movements, but no blood in the stools. The patient has a long-standing history of hypothyroidism, which is currently well-managed with Synthroid and Cytomel. She also takes a multivitamin and has a known allergy to codeine. No recent travel, fever, swollen lymph nodes, or other systemic symptoms were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Hypothyroidism: Although you mentioned that your thyroid levels are currently normal, the symptoms you described (such as fatigue, weight loss, and joint pain) could be related to your hypothyroidism. It's possible that your medication dosage needs adjustment.

    • Treatment typically involves taking thyroid hormone replacement medication, like the Synthroid and Cytomel you're currently taking. Regular monitoring of thyroid levels is also important.
  • Menopause: At your age, it's possible that you could be entering perimenopause, the transition period before menopause. Symptoms can include night sweats, weight changes, and mood changes.

    • Treatment can include hormone replacement therapy, lifestyle changes, and medications to manage specific symptoms.
  • Lupus: This is an autoimmune disease that can cause a variety of symptoms, including a rash (often on the face, but it can appear elsewhere), joint pain, fatigue, and weight loss. However, other symptoms such as fever, swollen lymph nodes, and kidney problems are also common, which you did not report.

    • Treatment typically involves medications to manage symptoms and prevent flare-ups, as well as lifestyle changes.
  • Non-Hodgkin's Lymphoma: This type of cancer can cause night sweats, weight loss, and fatigue. A rash is less common, but can occur. However, other symptoms such as swollen lymph nodes, fever, and chest pain are also common, which you did not report.

    • Treatment typically involves chemotherapy, radiation therapy, immunotherapy, or a combination of these.

Please remember that these are just possibilities. You should consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to run some tests or adjust your medication.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider in their evaluation.
  3. Maintain a healthy lifestyle. Regular exercise, a balanced diet, and sufficient sleep can help manage symptoms and improve your overall health.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Difficulty breathing or chest pain
  • High fever (temperature over 100.4°F)
  • Severe headache or confusion
  • Any new or worsening symptoms

Remember, I'm an AI and this advice is based on the information you provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


Can hypothyroidism cause symptoms like night sweats and weight loss?

Hypothyroidism typically causes symptoms like fatigue, weight gain, and cold intolerance. However, if thyroid hormone levels are not well-managed, it can sometimes lead to symptoms like weight loss and changes in metabolism. Night sweats are less commonly associated with hypothyroidism.


What are common symptoms of perimenopause, and could they include a rash?

Perimenopause can cause a variety of symptoms including night sweats, hot flashes, mood changes, and irregular periods. Skin changes can occur, but a rash is not a typical symptom of perimenopause.


How is lupus diagnosed, and what are its typical symptoms?

Lupus is diagnosed through a combination of medical history, physical examination, and laboratory tests, including blood tests for specific antibodies. Common symptoms include a butterfly-shaped rash on the face, joint pain, fatigue, and fever.


What are the early signs of Non-Hodgkin's Lymphoma?

Early signs of Non-Hodgkin's Lymphoma can include swollen lymph nodes, night sweats, unexplained weight loss, and fatigue. A rash is not a common early symptom, but it can occur in some cases.


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