[18F] With persistent lip rash and swollen lymph node
Patient Description
An 18-year-old female presents with a white, painless rash located at the corner of her lips, which has been slowly growing over the course of a few months. The rash is flat, the color of her lips, and has a different texture from the surrounding skin. It is unnoticeable unless closely examined in a well-lit room with a mirror. Additionally, the patient reports a swollen lymph node in her right armpit. She initially noticed the swelling in the shower and attempted to squeeze it, thinking it was a pimple, which resulted in the release of clear fluid. The swelling has since reduced in size but now feels like a hard ball. No known triggers or activities seem to exacerbate or alleviate the rash, and no treatments or remedies have been tried.
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Arora's Assessment
What might be happening
Based on the symptoms you described, here are some possible explanations:
Swollen Lymph Node in Right Armpit
- Infection: Swollen lymph nodes are often a sign that your body is fighting an infection. This could be a bacterial or viral infection. The clear fluid you mentioned could have been from a small abscess or cyst that you inadvertently drained.
- Lymphadenopathy: This is a general term for swollen lymph nodes and can be due to various causes, including infections, immune system disorders, or even cancers like lymphoma. Given that the node is now hard, it is important to monitor it closely.
White Painless Rash on the Corner of Lips
- Fordyce Spots: These are small, painless, pale bumps that can appear on the lips and are generally harmless.
- Vitiligo: This is a condition where the skin loses pigment and can appear as white patches. It is usually painless and can slowly grow over time.
- Fungal Infection: Sometimes, fungal infections can present as painless, discolored patches on the skin.
What you can do
Swollen Lymph Node
- See a Doctor: Given that the lymph node is hard and has persisted, it is important to consult a healthcare provider. They may perform a physical examination and possibly order imaging tests or a biopsy to determine the cause.
- Monitor Symptoms: Keep track of any changes in the size, texture, or pain associated with the lymph node. Note any other symptoms like fever, night sweats, or unexplained weight loss.
- Avoid Squeezing: Refrain from squeezing or manipulating the lymph node to prevent further irritation or infection.
White Painless Rash
- Consult a Dermatologist: A dermatologist can provide a more accurate diagnosis and recommend appropriate treatments. They may perform a skin biopsy if necessary.
- Maintain Lip Hygiene: Keep your lips moisturized and avoid irritants like harsh lip products.
- Monitor Changes: Keep an eye on the rash for any changes in size, color, or texture.
What you should look out for
- Persistent or Growing Lymph Node: If the lymph node continues to grow, becomes painful, or you notice additional swollen nodes, seek medical attention promptly.
- Systemic Symptoms: Watch for symptoms like fever, night sweats, unexplained weight loss, or fatigue, as these could indicate a more serious underlying condition.
- Changes in Rash: If the rash changes in appearance, becomes painful, or starts to spread, consult a healthcare provider.
Remember, while I can provide information and suggestions, it is crucial to seek care from real health professionals to receive a formal diagnosis and treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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9 mo ago
