<s>[INST] 26 male 5'11" 168lbs. Good health. Had appendix taken out in Sept 09. In hospital for 2 weeks because of abcesses formed. diagnosed with solitary urticaria pigmentosa. Not really active. Question: I have been to 5 different drs. 2 family drs and 2 surgeons and one Onc over the past year and half about a 1 cm posterior cervical lymph node and one 5mm epitrochlear lymhp node (elbow) which is rare and people say it is something to take seriously yet all the drs seem to say "oh it is nothing to worry about" and a little lump on inside tip of elbow (medial side - maybe lymph node maybe not about 4-5 mm) I have no other symptoms of anything but they have been there for 12 months or longer (since I noticed them at least) except for bump on tip of onside elbow (about 2 months for  that one). Age is 26. Am I over reacting or should I seek out yet another opinion? They are moveable and they aren't hard or soft really. they are smooth like and not matted down. what should my next step be? Pursue another dr or let it go? I had ct w/contrast done of my neck in Aug 2010 and it said they could see normal lymphnodes in posterior and jugulodigastric area and neck tomography is normal. [/INST] Hi, thanks for sharing your health concerns with HCM!Well, as per your description, you have some problem with your body immunity, I can conclude on what you just described...!If somebody presents to me with such history of abscess etc and multiple lymph nodes in the body, first and foremost reflex for me would be to do an FNAC test that would confirm the disease...!But, I think there is not much to worry as the common causes in this case could be:1. reactive lymphoid follicular hyperplasia due to recurrent skin infections / ENT infection/oral infections or viral infection etc2. tuberculosis3. kind of atypical lympho-proliferation which is really unlikely in your case!Hope you got your answer. Please feel free to write to us if any more queries.Wishing you the best health! </s>