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Ive just noticed my daughter has a protruding collar bone on…

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Hello. Ive just noticed...

Hello. Ive just noticed my daughter has a protruding collar bone on the right side. What could this be?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Protruding collar bone.

Doctor's Assistant:... Read full answer

Hello. Ive just noticed my daughter has a protruding collar bone on the right side. What could this be?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Protruding collar bone.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

She has an enlarged lympth node behind each ear. She also has just been referred to a dermatologist for livedo reticularis and dermagraphism

Doctor's Assistant: How long have you been dealing with the ear issue? Have you had any colds or flus recently?

She recently had a blood test and she has high folate and low creatinine

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Answered in 2 minutes by:
7/19/2017
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 5,414
Experience: MBBS
Verified

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Any symptoms associated with this like tingling or numbness in right arm ? Any breathing issues or change in voice? How long have you noticed this ? Please mention her age

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Customer reply replied 1 year ago
She is 9. Nearly 10. She's had breathing issues. The swelling behind right ear is more noticeable and has been there about 6 weeks. Ultrasound said swollen node but it hasn't gone down at all. She hasn't mentioned any tingling or numbness. She's had headaches, tummy aches. Every now and again she says a bit of sore throat but not swollen.No breathing issuesThe marks which the doctor said are livedo reticularis are only on her right leg and right arm. Slowly moving up her next and on her chest.Neck

Well actually there is a long list of causes for livedo reticularis alone so it will need some workup to investigate the exact cause. Most of the causes of LR include autoimmune conditions like SLE, PAN, vasculitides , collagen disorders etc. She has symptoms affecting different parts of her body so an underlying cause could be common to all of these.

A skin biopsy would help diagnose ,if there is an underlying cause present. Otherwise this is idiopathic i.e with no primary cause.

Any ear infections or discharge ? Sinusitis or recent upper respiratory infections?

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Customer reply replied 1 year ago
No infections, no dischargeNothing else showed up in blood tests.

Is the lymph node soft, firm or hard ? Any idea about its size ? Any lumps anywhere else?

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Customer reply replied 1 year ago
It's hard. one is 9x2 mm and other one is 1.4 x 7 mm. (From the ultrasound about 4 weeks ago). No lumps elsewhere. Doctor said nodes in neck were up too. But I'm not sure if still are. Just the right collar bone that looks like a lump or bigger on right side which I haven't noticed before.

Alright well she needs to get an x-ray on that bone or chest to see the extent and type of bony prominence. Hard lumps are linked with malignancies/ tumours ,but before going to far one has to start investigating from baselines.

An xray chest with skin biopsy should narrow down things for us.

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Customer reply replied 1 year ago
Could these things be linked?Would the dermatologist refer for a skin biopsy?

Its bit too premature as i said , ideally a few tests should be arranged if your doctor considers the bony prominence to be suspicious.

A chest x ray should be done to check for extent and origin of prominent collar bone. We need to observe the lymph nodes for progression for now . Your skin doctor should get a biopsy done to look for a cause of LR.

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Customer reply replied 1 year ago
Ok thank you.

You are welcome. Please do remember to leave a 5 stars rating to my work.

Wishing your daughter a healthy life

Kind regards.

Dr Saleem.

Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 5,414
Experience: MBBS
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