Can you guys help please? (update on bite)

Discussion in 'Fibromyalgia Main Forum' started by KateMac329, Aug 4, 2006.

  1. KateMac329

    KateMac329 New Member

    Hello,

    Today marked the third time this week I have been in to see my doctor about the "bite" on my leg.

    It has increasingly gotten worse the past couple of days and I am in so much pain I can hardly sleep!

    The Lyme test came back negative which was what I expected because I didn't think it was a tick bite to begin with. Don't you have to pull a tick out when they bite you? Makes sense to me.?.?.

    Anyway, it is now being called a "rash" and not a bite at all. I posted a picture of it in my profile and before you look let me warn you that it is disgusting!

    I have looked everything up on the internet and I couldn't come up with anything!!!

    I don't have poison oak. It isn't a spider bite. It isn't poison ivy and it isn't a tick bite.

    The doctor I saw today is a doctor I have never seen before and she spent more time with me then any doctor ever has.

    She was very curious about my "rash". Almost kind of excited I guess. She said she might not get to see another one like it.

    Anyway she thinks it is Dermatitis Herpetiformis and Linear IgA Bullous Dermatosis.

    Have any of you heard of this before? I guess in the simplest terms it is a skin disorder aggravated by gluten intolerance.

    You can have it for awhile but a bite or scratch of some sorts can make it start? Something like that. I am not very clear.

    I would really appreciate any information you guys can give me!!!!

    I am glad that someone is finally listening to me but at the same time this whole thing is really kind of scary.

    ((((HUGS))))

    kate

  2. suzetal

    suzetal New Member

    OMG it is bad.The red line seems to be traveling up your leg.

    NOT good.Check the insides of your wrist to see if you have a pink or red line starting to travel up your arm.

    Kate if it gets any higher PLEASE GO TO THE ER.

    Sorry I'm not much help.But please promise me that if it starts to travel any higher you will go to the ER.

    Hugs()()()()()( Sue
  3. kriket

    kriket New Member




    How strange. It looks more like a spider bite to me, but who knows. I am no doctor. That hole makes me think it could be a spider. It looks like it is traveling up your leg though. This can't be good. You need to watch it very close, it looks infected and as if it is traveling up your body. Gosh, I sure hope they figure it out and treat you correctly.

    Kriket
  4. jake123

    jake123 New Member

    I don't know about it not being an insect bite because of the circles around it. I would get another doctor to check it. It is scary looking. Maybe a dermatologist?

    We have a county hospital here that has all kinds of specialists on staff. That might be the ticket for you. Just go to the ER at the county hospital.
  5. UnicornK

    UnicornK New Member

    the bite of the Brown Recluse Spider. It can cause symptoms like that weird bacteria that eats your flesh. It starts with a bad rash.

    Get it checked out. There is treatment for it.

    Keep us posted.

    God Bless.
  6. kriket

    kriket New Member


    I agree with unicornk, I told you I suspected a spider bite and was thinking brown recluse too.

    Kriket
    [This Message was Edited on 08/04/2006]
  7. windblade

    windblade Active Member

    I wouldn't rule out lyme. The ticks can be as small as a comma in this sentence. Not at all like wood-ticks. Lots of people don't know they're bitten.

    I think you need more info. about the most reliable lyme tests, and how soon after the bite results show up.

    I hate to see you going through this!!!

    Keep pushing on for an answer. I wish I was a Dr. myself so I could help.

    Praying for a correct diagnosis.
    Love, Judy
  8. Gosia

    Gosia New Member


    Kate. I don't know what is this, but it doesn't look good. There is an infection showing, traveling towards your heart. Don't wait to long. Get to ER asap. If the infection reaches your heart, it will be to late . Let us know how you doing. Please go.
    Gosia
  9. BlueSky555

    BlueSky555 New Member

    Bless your heart; that does look serious. I agree that it looks somewhat like a spider bite. A rash just doesn't make sense to me because of the place that looks like a bite.

    A family member of mine had something that looked like little blisters on the back of her leg, just above her knee. She went to dr. and was diagnosed with shingles. She is so young, also. But it looked much different from what you have.

    Take the advice of others and go to ER if it travels much higher.

    I pray someone will find an answer for you,

    BlueSky555
  10. painache

    painache New Member

    Yes, Please get a hospital if the red line that is going upward continues to go up your leg and toward your heart. This could be blood poisoning from the bite. My son had a very tiny bite on his arm and we noticed a thin red line going upward. It turned out to be blood poisoning as a result of the bite.That was my first thought when I looked at your photo. Take Care painache
  11. ulala

    ulala New Member

    is an infection. The hole looks like the point of entry, and it looks like a bug crawled up your ankle.

    I had an infected toenail once and a red streak started going up my leg.

    You should get to the ER. The infection WILL get into your system and you most likely need antibiotics. Don't wait!!!

    Best wishes.
    [This Message was Edited on 08/04/2006]
  12. 2YUNG

    2YUNG New Member

    Hi Kate,
    Havve you ever heard of Celiac Disease? That is the rash the dermo was talking about I think. Look it up on google and see what it looks like, CD is an allergic reaction to all glutin, wheat products and causes a horrible rash. But I agree with the others, it looks like a spider bite of some sort. I got bit last year, and not only did I blow up I got a fever, passed out at times, doctor never saw anything like it. Since I had a low grade fever she gave me antibiodics. I called the poision control center and got very educated about what I had. And it was a spider. Call them and tell them you symptoms. I bet they can help more than a Dr. Keep it cool, and don't let it go up any higher or you will be in trouble. I never could find the spot when it bit me, but I got swollen all over my waist to top of legs, looked like I had a pair of shorts on. I was so swollen you would think you could take a pin and pop it.
    Good luck,
    with FM don't fool around with this. If nothing wlse make your Dr. give you a strong Antibi. to kill bacteria.
    Lots of luck.
    Deb
  13. hugs4evry1

    hugs4evry1 New Member

    I'm so sorry you have to go through this too....most of your questions have been answered but...

    My daugher always goes to Google Images and puts her search in there. I'd recommend it for you.

    Wish I had more time and I'll check back later, but hubby and I are getting ready for a road trip today and I need to go.

    Just saw this with your name and wanted to see if I could help.

    Hugs,

    Nancy B.
  14. tlayne

    tlayne Member

    Are you having any other symptoms? Do you have a fever, nausea and/or vomiting, stomach pain, abdominal pain, shortness of breath, etc. ?

    Just by looking at your bite...it is not good. The red line that runs up your leg...does it follow a vein? I am kinda thinking a brown recluse spider also, but I am not a doctor. If I were you I would go to the ER. Hugs, Tam
  15. petsrme

    petsrme Member

    It kind of looks like a brown recluse bite. The red line looks like infection. Please go to another doctor as soon as you can. You can look up brown recluse bites and see pics. They all look different, but kind of the same. You know what I mean? Best wishes. I hope it heals soon.
  16. kjfms

    kjfms Member

    Here are some good pictures and an excellent article:

    http://tray.dermatology.uiowa.edu/LinIgA001.htm

    Dermatitis Herpetiformis 1

    http://tray.dermatology.uiowa.edu/DH-001.htm


    Dermatitis Herpetiformis 2 (extreme close up)

    http://tray.dermatology.uiowa.edu/DH-002.htm


    Dermatology

    Vesiculobullous Diseases: Dermatitis Herpetiformis

    http://www.medscape.com/viewarticle/535261

    From ACP Medicine Online

    Posted 06/07/2006

    Elizabeth A. Abel, M.D.; Jean-Claude Bystryn, M.D.


    Dermatitis herpetiformis (DH) is a rare vesiculobullous disease characterized by intensely pruritic, small vesicles that are grouped in small clusters and typically appear on the extensor aspects of the extremities and on the buttocks, scalp, and back.

    The condition is believed to be an immune-mediated disorder and is associated with abnormal granular deposits of IgA at the basement membrane zone and with asymptomatic, gluten-sensitive, spruelike enteropathy.

    The disease is chronic, with periods of exacerbation and remission. Lesions may clear if patients follow a strict gluten-free diet. Linear IgA dermatosis [see Table 1 -- omitted] is an uncommon subepidermal blistering disease that may clinically resemble DH or erythema multiforme (see below).

    Pathogenesis
    The cause of DH is unknown. It may be related to gluten-sensitive celiac disease; there is a strong association between the two conditions, and they share a similar genetic basis (both are associated with HLA-B8 and HLA-DR3).

    DH is thought to result from an abnormal IgA immune response to an unidentified antigen (possibly found in gluten) that contacts the gut. Skin lesions may result from deposition of immune complexes against this antigen in skin.

    Clinical Features
    Skin lesions of DH are polymorphic. They usually begin as small, very pruritic urticarial papules or vesicles that are grouped in a herpetiform pattern [see Figure 4 -- omitted].

    Actual vesicles or other primary lesions are rarely seen because they are excoriated by patients' scratching. The distribution of lesions is characteristic: they occur most commonly on the elbows, knees, buttocks, scapular area, and scalp. Sometimes, lesions are scattered over the entire body.

    The lesions tend to appear suddenly and symmetrically, sometimes after ingestion of large amounts of gluten. Lesions heal, leaving hyperpigmentation; scarring may result from scratching or secondary infection. Involvement of mucous membranes is rare.

    The disease is twice as common in men as in women. It predominantly affects persons between the ages of 20 and 50 years.

    There may be an associated patchy duodenal and jejunal atrophy that resembles the gluten-sensitive enteropathy of adult celiac disease.33,34 The enteropathy is usually asymptomatic and, like celiac disease, responds to gluten restriction.

    Because celiac disease is associated with gastrointestinal lymphoma, there is concern that the same may be true for DH. However, although lymphomas of the small intestine have been reported in DH,35 the association appears to be rare.

    Histologic and Immunologic Findings
    Two characteristic laboratory features of DH are used for diagnosis. First, the disease is characterized histologically by accumulations of neutrophils and eosinophils in microabscesses at the tips of dermal papillae.

    In more severe cases, edema appears and can progress to subepidermal blisters appearing just below the lamina densa. Secondly, granular deposits of IgA are found at the basement membrane zone in almost all patients.

    These are often associated with granular deposits of C3 and, occasionally, of IgG and IgM. When found alone, IgA is one of the most sensitive and specific diagnostic markers for DH. When IgA is found with deposits of IgG, IgM, or C3, immune complex vasculitis and systemic lupus erythematosus are added to the differential diagnosis.

    Although basement membrane zone deposits of IgA alone also occur in linear IgA disease,36 the deposits in that condition are linear rather than granular. There are no circulating antibodies to normal skin components in DH.

    Treatment
    DH responds rapidly and dramatically to sulfones. Dapsone at a dosage of 100 to 200 mg/day is most commonly used for treatment. Glucose-6-phosphate dehydrogenase (G6PD) deficiency must be excluded before starting therapy, because lack of this enzyme can result in severe drug-induced anemia.

    Sulfapyridine at a dosage of 1 to 3 g/day in divided doses (or sulfamethoxypyridazine) can be used in patients who cannot tolerate dapsone.

    Doses of these drugs are gradually reduced to the lowest amount that will suppress pruritus and development of new lesions.

    As indicated, patients also respond to a gluten-free diet; however, such diets are difficult to follow. Nevertheless, even a partial decrease in gluten intake will result in a decreased requirement for sulfones and should therefore be encouraged.





    Elizabeth A. Abel, M.D., Clinical Professor of Dermatology, Stanford University School of Medicine

    Jean-Claude Bystryn, M.D., Professor of Dermatology, New York University School of Medicine, Director, Melanoma Immunotherapy Clinic, NYU Kaplan Comprehensive Cancer Center

    All material on this website is protected by copyright, Copyright © 1994-2006 by Medscape. This website also contains material copyrighted by 3rd parties. Medscape requires Microsoft browsers in versions 6 or higher.

    I wish you the best of luck with this and please take care of yourself.

    Thanks,

    Karen :)
  17. ilovecats94

    ilovecats94 New Member

    Kate,
    Here is a site you can go to to check skin problems. You'll have to copy and paste it, though.

    http://www.dermnet.com/

    I hope this helps you some. I just don't know... It sort of looks like the lyme with the bullseye and spot in the middle.

    But I've never seen lyme travel like that up. I'd see a dermatologist, I think or consult a infectious disease specialist.

    I'll be sending you postive and good thoughts.

    Hugs,
    Faye
  18. findmind

    findmind New Member

    I have seen a brown recluse spider bite up close. A dear friend had one on lower calf muscle.

    It looked like a rash, then turned sort of brownish...when finally diagnosed with proper name, they had to surgically open it up...see, it spreads out UNDER the skin, and totally eats away the tissue!

    She had to go thru hyperbaric chamber treatments to get oxygen to it so it would heal, plus plenty of meds. The hyp. chamber really damaged her eyes, but she was in great danger from the bite.

    I hope that's not what you have...but if you do, that someone finally recognizes it and gets you immediate treatment~!

    Many drs have never seen this, so may not easisy recognize it...keep trying, don't give up until you have complete answers and appropriate treatment!

    Hugs, dear one...and one for baby too
    findmind
  19. angeljoe

    angeljoe New Member

    Kate, that looks serious to me. The red streak is a sign of infection. I agree with the others that it looks like a spider bite.

    I wouldn't depend on a PCP for this one.

    That red streaking can move to your lungs honey. You need to be on a antibiotic to prevent the infection from moving up any farther.

    Please try to see another doctor right away. You might have a blood infection already from the red streak moving up your leg like that.
    Hugs,
    Angela
  20. MamaDove

    MamaDove New Member

    WOW!!!

    I have never seen anything like that before.

    That looks serious to me...

    Please Kate, do the best you can to find someone who can give you a firm diagnosis.

    It certainly looks like a 'bite' and def not a 'rash' OR some kind of skin condition...It seems two others mentioned the same brown spider, the recluse, is it possible? There must be someone who knows...You need a Dr. House right about now...As someone else said, maybe the county clinic would be of more help.

    Don't stop until you find an answer, PLEASE!

    KATE, I JUST GOOGLED BROWN RECLUSE SPIDER BITE and the images I saw looked very similar to yours only without the added line...Same symptoms too...Run, don't walk and get them to help you, this is REAL SERIOUS!!! Let us know.

    ~Alicia
    [This Message was Edited on 08/05/2006]