The diagnostic uncertainty of a 27 year old woman
A 27 year old woman presented to our OPD with the complaints of Fissured tongue since 6 months Angular chelitis since 6 months Loss of appetite since 6 months Weight loss over 6 months She first reported to our outpatient unit with oral ulcerations, tongue fissures , angular chelitis since the past 6 months. She also reported loss of weight of around 10 kgs over the last 6 month along with low grade intermittent fever over the past few months. The following month, she again presented with the complaints of bilateral non tender cervical lymphadenopathy. She reported that these cervical swellings would intermittently subside by itself. She however had no complaints of cough, night sweats, eczema, joint pains. On examination: Thin built woman Pulse Rate - 70bpm Blood Pressure - 110/70mmhg Respiratory Rate - 20 cycles per minute Temperature - 98.6 F GRBS - 100mg/dl Weight - 34kgs Height - 150cms Pallor + Lymph Node examination: Palpable submental, submandi