[27F] With persistent skin bumps, armpit lump, and unexplained bruises

Patient Description

A 27-year-old female with a history of type one diabetes, diagnosed at age 13, presents with persistent skin bumps that have been appearing over the last year. These bumps are raised, resemble blisters, and do not hurt or itch. They have not resolved over time, with a new one appearing every few months. Recently, the patient discovered a hard, rubbery lump in the armpit that has been present for about a week, along with two large bruises that she does not recall acquiring. The patient experiences night sweats but denies fever, unexplained weight loss, or fatigue. There is no swelling in other lymph node areas and no recent infections. Occasionally, she experiences joint pain or stiffness without a specific pattern. The patient is currently on insulin, phentermine, and lexapro. She reports that alcohol consumption results in a rash. There is no family history of cancer.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what might be happening:

  1. Skin Conditions: The bumps on your body that resemble blisters but don't itch or hurt could be related to a skin condition such as a benign growth or a dermatological issue. Since they haven't resolved over time, it's important to have them evaluated by a healthcare professional.

  2. Lymph Node Swelling: The hard, rubbery lump in your armpit could be a swollen lymph node. Lymph nodes can swell due to infections, inflammation, or other underlying conditions. Given your history of night sweats, it's important to have this evaluated to rule out any serious conditions.

  3. Bruising: The unexplained bruises could be related to a variety of factors, including potential issues with blood clotting or platelet function. It's important to monitor for any additional bruising or bleeding.

  4. Autoimmune Considerations: Given your history of type one diabetes, an autoimmune condition, it's possible that other autoimmune processes could be contributing to your symptoms. This would require further evaluation by a healthcare provider.

What you can do

Bumps on the Skin:

  • Schedule an appointment with a dermatologist to have the bumps evaluated. They may recommend a biopsy or other tests to determine the cause.
  • Avoid trying to remove or treat the bumps at home, as this could lead to irritation or infection.

Lump in the Armpit:

  • See a healthcare provider for an evaluation of the lump. They may perform imaging tests or a biopsy to determine the cause.
  • Monitor the lump for any changes in size, shape, or pain.

Bruising:

  • Keep track of any new bruises or bleeding and report these to your healthcare provider.
  • Avoid activities that could lead to injury or bruising until you have more information.

General Health:

  • Continue managing your type one diabetes as directed by your healthcare provider.
  • Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Rapid increase in the size of the lump in your armpit
  • Additional unexplained bruising or bleeding
  • Fever, unexplained weight loss, or persistent fatigue
  • Any new or worsening symptoms

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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People Also Ask


What could cause persistent skin bumps that resemble blisters but don't itch or hurt?

Persistent skin bumps that resemble blisters but don't itch or hurt could be due to benign skin growths or dermatological conditions. It's important to have them evaluated by a dermatologist to determine the exact cause.


What might a hard, rubbery lump in the armpit indicate?

A hard, rubbery lump in the armpit could be a swollen lymph node, which may occur due to infections, inflammation, or other underlying conditions. It's important to have it evaluated by a healthcare provider to rule out serious conditions.


Why might someone experience unexplained bruising?

Unexplained bruising can be related to issues with blood clotting or platelet function, among other factors. Monitoring for additional bruising and consulting a healthcare provider is recommended to determine the cause.


How can type one diabetes be related to other autoimmune conditions?

Type one diabetes is an autoimmune condition, and having one autoimmune disease can increase the risk of developing others. This could contribute to symptoms and requires further evaluation by a healthcare provider.


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