Advice for 6 month old with swollen B/1st toes

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Looking for some advice.

6 month old. periungual tissues both 1st toes inflammed.

No issues with birth.

Thoughts:

Baby grows to small?? advice given.

Advised mother to swab regularly with 0.5 chlorohexidine in spirit. Referred to G.p.

 

Just seen the patient.

Inflammation has cleared.

Has any body seen this before?? Differentials??

 

Hi, poor fitting footwear?
Or poor nail cutting come to mind?
cheers

 

Both nails med and lat borders were distal to the distal sulcus, nail cutting didn't seem to be an issue.

Baby has never had a pair of shoes on, claimed the parent.

My only thought was tight fitting baby grow ( baby grow with the incorparated sock ).

Was a bit shocked to see this in a 6 month old

 

Could the baby be kicking something regularly - ie. crib side, or are they in a baby-bouncer and constantly bouncing on the floor with pointed toes? If not, then I would have gone with your baby grow theory too. Can't say I've ever seen anything like this in a baby though.

Ella

 

Have had a couple of kids over the years with IGTN/redness. Have usually found it to be the pressure of the soft shoes in winter or tightness of cheap growsuits. The cheaper they are the smaller the foot size of the grow suit tends to be. I generally get mum's to cut off the feet (of the grow suit) if it still fits the babe and the problem goes away.

I work in a very low socioeconomic area so these are often the only clothing that a baby has.

Good call by you!

 

Is the baby crawling? If so, it might be putting pressure on the nail folds from the crawling position.

 

No pete, no crawling.:bang: