Many cases may improve without specific therapy, but some untreated cases can develop complications such as lymph node suppuration, prolonged fever, or—more rarely—eye or liver/spleen involvement. Immunocompromised individuals carry a higher risk of systemic disease. Therefore, “it will always go away on its own” is not universally safe. If symptoms are significant, persistent, or if risk factors exist, clinician-guided evaluation and monitoring is the safer strategy.