[27F] With rash, fever, and burning sensation in left foot
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Rash, Fever, and Burning Sensation in Feet
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Contact Dermatitis or Allergic Reaction:
- Rationale: The itchy, bumpy, red rash on your thigh and shoulder blades could be due to an allergic reaction or contact dermatitis, especially since it worsens at night and with exposure to certain environments.
- Typical Treatments: Avoiding the allergen or irritant, using antihistamines, and applying topical corticosteroids.
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Peripheral Neuropathy:
- Rationale: The warm, burning sensation in your left foot could be due to peripheral neuropathy, which can be caused by various factors including vitamin deficiencies, diabetes, or other underlying conditions.
- Typical Treatments: Managing the underlying cause, pain relief medications, and sometimes physical therapy.
Unifying Diagnoses
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Systemic Infection or Inflammatory Condition:
- Rationale: The combination of rash, fever, and burning sensation in your foot could suggest a systemic infection or inflammatory condition. Given your pregnancy, it's crucial to rule out infections that could affect both you and your baby.
- Typical Treatments: Blood tests to identify any infections, appropriate antibiotics or antivirals, and close monitoring by your healthcare provider.
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Autoimmune Disorder:
- Rationale: Autoimmune disorders can present with a variety of symptoms including rashes, neuropathy, and systemic symptoms like fever.
- Typical Treatments: Blood tests to check for autoimmune markers, immunosuppressive medications, and symptom management.
What you can do
Rash and Fever
- See a doctor as soon as possible: Given the combination of rash and fever, it's important to rule out any serious infections or conditions, especially since you are pregnant.
- Avoid potential allergens: Try to identify and avoid any substances that might be causing the rash.
- Use over-the-counter antihistamines: These can help reduce itching and discomfort.
- Keep the rash area clean and dry: This can help prevent any secondary infections.
Burning Sensation in Feet
- Consult a healthcare provider: It's important to determine the underlying cause of the burning sensation, especially since it could be related to neuropathy or another condition.
- Elevate your feet: This can help reduce any swelling and discomfort.
- Wear comfortable shoes: Ensure your footwear provides adequate support and cushioning.
General Tips
- Stay hydrated: Drink plenty of water, especially if you have a fever.
- Rest: Ensure you get enough rest to help your body recover.
- Monitor your symptoms: Keep track of any changes in your symptoms and report them to your healthcare provider.
What you should look out for
Given the severity of your symptoms and the fact that you are pregnant, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Worsening rash or spreading to other parts of your body
- High fever or chills
- Severe pain or swelling
- Any new or worsening symptoms
Remember, while I can provide some guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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6 mo ago