Symptom 2: Enlarged Lymph Nodes
Lymph nodes, small gland-like structures scattered across the body, play a crucial role in our immune response. When they enlarge or swell, it’s often a direct indication of an underlying issue. In the context of ATL, swollen lymph nodes stand as one of the defining symptoms.
Typically, these nodes are located in areas like the neck, armpits, and groin. When affected by ATL, they can increase in size and become palpable, often feeling tender to touch. Initially, the enlargement might be subtle, almost imperceptible to the untrained hand. However, over time, the nodes can become markedly swollen, reaching sizes where they become visible to the naked eye.
A common misconception is that enlarged lymph nodes are always painful. In the early stages of ATL, they might be entirely painless, only giving away their presence through their increased size. As the disease progresses, tenderness or even outright pain can set in, especially when the nodes are pressed or when there’s significant swelling.
Beyond the physical changes, swollen lymph nodes can also impact nearby structures. For instance, if nodes in the neck enlarge considerably, they might press against the windpipe, causing breathing difficulties or a persistent cough. (2)