Help with a Paed pt needed
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Greetings all,
Ms X is a 13 year old girl, who is about 80 kg and 5 foot 8 inches (sorry about the mixed measurment units!) - large for her age, but within the expectations of her largish family.
Following a knee injury to the left leg (lateral dislocation of the patellar) 12 months prior, she developed a region of mottled erythema and hyposthesia on the lower anterior medial aspect of the affected leg. The vascular and neuro changes are limited to a 7 cm square area. (I'll append a photo later if I can, but there is nothing remarkable to see).
The region is not painful, just numb. On exercise the mottling diminishes and the area becomes more frankly erythematous, then resolves to usual status. There is slight and firm swelling over the area which does not change with exercise or rest.
These symptoms have not changed since their commencement 12 months ago. She is otherwise well, except for asthma for which she takes preventer medication and ventolin prn (generally once a day). Within the last 12 months she has had two courses of oral prednisolone related to the asthma.
It aint getting better, it aint getting worse. The knee is still dodgy, but responding to physio/orthoses. The strange mottling/numbness persists.
Your thoughts?
Felicity
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