[27F] With rash, fever, and burning sensation in left foot

Patient Description

A 27-year-old female presents with a rash on her thigh and shoulder blades that has been present for a week. The rash is described as itchy, bumpy, red, and slightly swollen, especially at night. She also reports a warm, tingling sensation in her left foot that comes and goes throughout the day and worsens when outside. Additionally, she has been experiencing headaches. The patient is 6 weeks pregnant and has a history of anemia diagnosed after her first daughter was born in 2018, and depression diagnosed at age 14. She has no known allergies except for penicillin, which causes sickness. She is not currently taking any prescription medications other than Ritual Prenatal Vitamins and using Calamine Lotion for the rash, which has not been effective. She recently stopped taking Flonase. There have been no recent injuries, changes in physical activity, or exposure to new substances that might explain her symptoms.

Show More

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

  1. 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.
  2. 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

  1. 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.
  2. 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.

Show More

1
 Hugs
0
 Comments

Save

6 mo ago

People Also Ask


What could be causing the itchy, bumpy rash on my thigh and shoulder blades?

The rash could be due to contact dermatitis or an allergic reaction, especially if it worsens at night or with certain exposures. It's important to identify and avoid potential allergens or irritants.


Why am I experiencing a warm, tingling sensation in my left foot?

The warm, tingling sensation in your foot might be due to peripheral neuropathy, which can be caused by factors like vitamin deficiencies or other underlying conditions. It's important to consult a healthcare provider to determine the cause.


Could my symptoms be related to my pregnancy?

Yes, some symptoms could be related to pregnancy, such as changes in immune response or increased sensitivity to allergens. However, it's crucial to rule out infections or other conditions that could affect both you and your baby.


What should I do if my rash and other symptoms worsen?

If your rash or other symptoms worsen, you should seek medical care immediately, especially since you are pregnant. Look out for signs like a spreading rash, high fever, severe pain, or any new symptoms.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback