HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

4 Yr Old Has Undiagnosed Fevers With Hands And Body Getting Red And Hot. Any Ideas What Is This ?

My, almost 4 yr old, daughter has an odd symptom associated with fevers that the doctors cannot explain. Every time she gets a fever that approaches 102 she complains both hands hurt or in her words feel yucky . Sometimes they are red and hot, sometimes cold and not red. It is always both hands and no other parts of her body. This started at 8 months of age. She rubs them together constantly, rubs them on the carpet or cold tile, will hold an ice pack, or wear gloves and wrap them in a blanket. Once she begins to sweat and the fever breaks she says they feel better and they return to normal. This does not happen with a low grade fever. It happened twice without a fever. Once after an allergic reaction to Clindamycin and again after an allergic reaction to Augmentin . Both times I gave her hydroxyzine and all the symptoms disappeared. She is in the 80-90 percentile for height and weight for her age, she is very active and healthy. She does not complain of any muscle or joint pain. We recently saw a neurologist and an allergist . All findings on physical examination were totally normal in fact she is advanced on her coordination. They are testing her for Juvenile Rheumatoid Arthritis , we will have blood tests back in two weeks. She has no symptoms of JRA. She has never had swollen lymph nodes or complained of any aches. Also each fever she has had has been associated with a cold or the flu. They do not last very long at all and we are always able to bring the high fever down within 30min to an hour of giving Ibuprofen or Acetaminophen. Raynaud s was suggested but she does not have the tri-phasic coloring and this only seems to happen with a fever or allergic reaction. Has anyone ever heard of or does anyone have bilateral hand tingling or pain during a fever that literally goes away when the fever breaks??? I am very concerned and do not want to subject my young daughter to unnecessary testing if this is just a fluke weird symptom of a fever.
Sat, 6 Apr 2013
Report Abuse
Pediatrician 's  Response
Hi,

Thank you for your query on Healthcare Magic.

I went through the symptoms of your child.

With the above complaints the episode of fever are short lived and they are associated with tingling or pain of hands on a few occasions whenever there is a high grade fever.

This is not suggestive of any specific diagnosis, but it may be the child way of expression of the discomfort that was present in hands at that times.

But as you told, on two occasions when she developed allergic reaction,it is a common thing in children to describe the itching sensation as hurting or tingling due to their immature perception of the sensation or inability to know the type of sensation.

Any how nothing to worry as the child has been examined and investigated reasonably to rule out any underlying problem.

But still I advise you to be in follow up with your doctor to document her symptoms and some times regular follow up will lead to detect any underlying problem.

Hope I have answered your query.

Regards.
I find this answer helpful

Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Ibuprofen


Loading Online Doctors....
4 Yr Old Has Undiagnosed Fevers With Hands And Body Getting Red And Hot. Any Ideas What Is This ?

Hi, Thank you for your query on Healthcare Magic. I went through the symptoms of your child. With the above complaints the episode of fever are short lived and they are associated with tingling or pain of hands on a few occasions whenever there is a high grade fever. This is not suggestive of any specific diagnosis, but it may be the child way of expression of the discomfort that was present in hands at that times. But as you told, on two occasions when she developed allergic reaction,it is a common thing in children to describe the itching sensation as hurting or tingling due to their immature perception of the sensation or inability to know the type of sensation. Any how nothing to worry as the child has been examined and investigated reasonably to rule out any underlying problem. But still I advise you to be in follow up with your doctor to document her symptoms and some times regular follow up will lead to detect any underlying problem. Hope I have answered your query. Regards.