[23F] With random scabs and scarring

Patient Description

A 23-year-old female has been experiencing random scabs on her shins, shoulders, and abdomen for a few weeks. The scabs are small, red, and have not changed over time. The patient reports scarring associated with the scabs but no other symptoms such as itching, redness, or pain. No specific activities or exposures have been identified that trigger or worsen the scabs. There have been no recent changes in environment, skincare products, or exposure to potential allergens. The patient has experienced recent weight gain and reports a prolonged menstrual period lasting about a month on and off. She is currently taking Floxitine and Abilify, with no over-the-counter medications or supplements. The patient has a history of low energy and weakness but no known allergies or family history of autoimmune diseases.

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Arora's Assessment

What might be happening

Based on the information you've provided, it seems like your symptoms could be related to a few different issues:

  1. Cervical and Ovarian Masses: The newly discovered mass in your cervix and the complex vascular mass in your ovary may be contributing to your prolonged bleeding, pelvic pain, and abnormal vaginal discharge. These symptoms could be indicative of conditions such as fibroids, cysts, or other gynecological issues. Further evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment.

  2. Anemia: Your lab results suggest microcytic, hypochromic anemia with elevated RDW and thrombocytosis, which may indicate iron deficiency anemia. This could explain your chronic low energy, weakness, headaches, and possibly the prolonged menstrual bleeding. Iron deficiency anemia is often treated with iron supplements and dietary changes, but it's important to address the underlying cause of the anemia as well.

  3. Skin Scabs: The random small red scabs on your shins, shoulders, and abdomen could be related to a dermatological condition or a systemic issue. Since they are not associated with itching, redness, or pain, and have not changed over time, they may not be an immediate concern but should be evaluated by a healthcare professional to rule out any underlying conditions.

What you can do

Cervical and Ovarian Masses: It's important to follow up with your healthcare provider for further evaluation and possible imaging or biopsy to determine the nature of these masses. They will guide you on the appropriate treatment options.

Anemia: Consider incorporating iron-rich foods into your diet, such as red meat, beans, lentils, and spinach. Vitamin C can help with iron absorption, so include foods like oranges, strawberries, and bell peppers. Your doctor may recommend iron supplements if necessary. Keep track of your energy levels and any changes in your symptoms using the MDandMe journal.

Skin Scabs: While waiting for a professional evaluation, keep the affected areas clean and moisturized. Avoid picking at the scabs to prevent scarring. If you notice any changes in the appearance of the scabs or if they become painful, seek medical advice.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care for a comprehensive evaluation. Be vigilant for any of the following:

  • Significant changes in the size or appearance of the cervical or ovarian masses
  • Worsening of your anemia symptoms, such as increased fatigue or shortness of breath
  • New or worsening skin symptoms, such as itching, redness, or pain

Remember, while I can provide information and guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

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People Also Ask


What could be causing the random scabs on my skin?

The random scabs on your skin could be due to a dermatological condition or a systemic issue. Since they are not associated with itching, redness, or pain, they may not be an immediate concern but should be evaluated by a healthcare professional to rule out any underlying conditions.


How can prolonged menstrual periods affect my health?

Prolonged menstrual periods can lead to significant blood loss, which may result in anemia, fatigue, and weakness. It is important to consult with a healthcare provider to determine the underlying cause and appropriate treatment.


What are the potential causes of microcytic, hypochromic anemia?

Microcytic, hypochromic anemia is often caused by iron deficiency, which can result from inadequate dietary intake, chronic blood loss, or absorption issues. It is important to address the underlying cause and may require dietary changes or iron supplements.


How should I manage the newly discovered cervical and ovarian masses?

Management of cervical and ovarian masses typically involves further evaluation by a healthcare provider, which may include imaging or biopsy to determine the nature of the masses. Treatment options will depend on the diagnosis and may range from monitoring to surgical intervention.


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