2 1/2 years of lymphadenopathy and other symptoms and now, terrible itching and strange rash. Hematologist consultation has me puzzled. CT reveals a number of enlarged nodes in chest; dr contributes to new rash on arms, lower legs and neck. Can it be?

You mean 'can it be Hodgkin's?'

Or can the enlarged nodes merely be enlarged because of the rash?

OK so he thinks the nodes are enlarged because of the rash (as in an autoimmune response TO the rash) even though the nodes were enlarged long before the rash came about. that is kind of strange, not sure what he could mean by that. he seems to be thinking in the opposite direction.

Still, as i'm sure you know, itching is not uncommon as an early symptom of hodgkin's. itching or a rash may also indicate cutaneous t-cell lymphoma (if other factors are present). but the only way to truly confirm this is through a biopsy; blood panels can't do this.

if they've suspected lymphoma for over 2 years why haven't they done a biopsy?

I think the answer to what you're asking is Yes. Just for the sake of it, check out this NINDS page on dermatomyositis, and check out this article from Discover Magazine called "Confusing Clues" concerning cancer and an itchy rash. Maybe something will look familiar to you.

Ross

Ross, thank you for the information. The Dermatologist told me my rash was very serious...that it was either a connective tissue disease or cancer. They took 2 biopsies. However,the results showed "spongiotic dermatitis". We are very thankful, though still trying to deal w/major discomfort. I am still waiting for follow-up w/Hem and how to approach the still ongoing swollen nodes. Truly appreciate your ear...