question: I am a 24 year old female, in no acute distress, 5'2", and 145lbs. I have a 1cm spongy lump my pcp has identified as left cervical lymphadenopathy times 3 years. I have noticed increased size and tenderness times one week with an occasional rash developing under my chin, all over my neck and chest when my neck is held in a position that tightens my neck. I am very tired and have night sweats but no weight loss. I have recently suffered a miscarriage.