I have not been on in about a month due to school starting (I'm a teacher) and just the hecticness of the start of a school year and being busy but I am on today cuz I'm a nervous wreck. Aidan is in LTM for Tcell ALL and has been fine. He was off meds for a week or so due to low counts and now they are down to 50% of 6mp and 33% of methotrexate (normal steroid dose for the 7 days after vinc) and on bactrim. When off the meds his counts went up (higher then we've seen since dx but not out of normal range, still scared me). Went back on the above dose and counts almost 2 wks ago were back to where is expected for LTM (not too low but not too high).
Well last night I noticed some very small but swollen cervical lymph nodes in Aidan's neck. I noticed it when he turned his neck and then I could feel them on the one side and then again on the other. They are very tiny and a little tender. But I am scared as the swollen lymph nodes were the only presenting symptom up to 2 days before Aidan's dx last year (ironically it was around this same time last year that those were discovered). Though the very swollen ones last year were submadibular whereas these are definitely behind the ear and likely the cervical lymph nodes. In addition to this he's had a very mild rash on his face (maybe sun exposure or???0 no where else and this rash seems to come and go. He has some darker circles under his eyes today but the wind is blowing. I did not find any other enlarged nodes, he's totally his normal energetic self. No petichea. I did see a little redness in his throat but he didn't really say it is bothering him. I am scared to death that the lymph nodes could be enlarged due to relapse. He goes on Tues to his onc for his LP and Vinc...but I'm nervous mainly cuz this was his only presenting symptom. I called the oncall onc who thinks it could just be due his previously higher counts or a little virus/cold that caused it but I'm scared to death and could barely sleep last night. I asked how a relapse could present and she mainly said as blasts in the blood but I tried to tell her his cbc at dx was normal even when his nodes were very large and it wasn't until weeks later that his counts were incredibly high!
Anyone else experience this w/their child? Any of these meds cause this symp? She also said the nodes may have been this tiny for awhile I just have not noticed them. Any advice for the appt on Tues or things to ask?
Thanks!