Topic

Discolored toe after possible bug bite

My 12 y.o. daughter has one toe that is very discolored and dry almost wrinkly looking. About 4 weeks ago she had what looked like 3 small white-ish bumps on her toe. They became itchy she took anti-histamines for a few days and the itchiness and bumpbs went away. It was tender to the touch a bit swollen and the skin started to turn blotchy red/purple. After a few more days it looked better but then returned. It almost looks like it's bruised but there was no trauma. Her Pediatrician had never seen anything like it feels it's a deep bruising caused by possible bug/spider bites. It did not feel warm to the touch she had no fever and there are no breaks in the skin no sores or peeling skin for the doctor to biopsy. She did feel there was a slight spot of fluid under the skin and when the toe is pressed on the skin blanches but returns to the purple color. It almost looks like it was hit by a hammer! She suggested waiting a few days and getting an xray to look for possible infection in the bone. It's been 10 days and it's not better so I guess we'll get an xray. I don't like to expose her to unnecessary radiation so we wanted to wait longer. 10 days after the doctor visit her toe looks pretty much the same except now the skin is very dry and a bit wrinkled. It's still a little tender to the touch but it no longer itches. Because it doesn't hurt unless pressed on or affect her daily life she and I tend to forget about it. But it's been about a month and it's no better and now I'm getting concerned. Any suggestions would be helpful. I created an album with 3 pictures but do not know how to post them here. Thank you!

2014-12-11 11:22:20

David

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Allergic reactions will not cause itching symmetrically on both legs. Likewise there are no skin ir internal diseases of which I am aware which cause symptoms of the type you describe. Therefore I don't think any tests are called for. When people itch without a rash in my experience stress is often a factor. At times it's the itch itself which induces the stress--in other words the more you itch the more you scratch and so on. And the more you worry about whether you're going to itch the more you will. What I usually advise itchy people to use is a topical anesthetic as often as needed (even every few minutes.) This can help break the itch-scratch cycle. Over-the-counter anesthetics include: Benadryl Lanacane Sarna and pramoxine. Prescription anti-itch products include Lidocaine and Zonalon. I advise you to use one or more of these and use them regularly until you stop itching. And congratulations on your upcoming marriage. (Talk about stress!) Best.

2014-12-11 11:27:31

Ben