Doctors Lounge - Pediatrics Answers
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Forum Name: Pediatric Topics
|tato - Sat Oct 27, 2007 9:15 am||
My ten year old daughter has been diagnosed with the following:
Hashimoto’s Thyroiditis with a large goiter
Inflammation of the eyes
She has the following symptoms:
Swollen Lymph node (1) on her spine (2 inches down from the neck)
Pain in her neck
On and Off pain in her ankle
Headaches during the day but sever in the middle of the night. We have tried several medications for relief, nothing works. The family doctor gave her some: Cephadyn, she finally got some much needed rest last night. But I'm not sure if she should be taking that medicine.
Rheumatologist said no RA no Lupus
Surgeon said Lymph node has gone down some since the ultra sound and does not think it will show anything if removed.
Endocrinologist says her Thyroid is good for now but goiter is getting bigger.
We have been to a Pediatric Rheumatologist, Pediatric Endocrinologist, Eye Doctor, Family Doctor, and a General Surgeon. Any idea on what this could be, or what type of doctor to see?
|Dr. Chan Lowe - Sat Oct 27, 2007 3:12 pm||
There are a few possible issues going on. First, it is very likely that your daughter has a viral infection causing her lymph node to be big as well as the inflammation of the eyes.
Based on your description I would agree that your daughter does not meet criteria for the diagnosis of Lupus at this point; however, this is something to continue to monitor as she may develop further symptoms. Lupus in children may take a year or two to fully develop. The American College of Rheumatology has developed a series of 11 factors. 4 of 11 is considered fulfillment for a diagnosis of systemic lupus erythematosus.
Follow up with her rheumatologist is important.
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