Welcome to Healthcare Magic,
First of all I am really empathetic to the problem which the little girl is having. It is really distressing for any parent to have anything unusual in kids.
Now as per the detailed history you have provided I can make out the best possibility of "Factitious dermatitis" created by the child herself or anyone close to her. This is a condition where the wounds are created by some artificial means such as by a cigarette or hot object or knife or any other artificial object. It can be created by self or anyone who is close to the patient.
Now I can understand that this might be quite shocking for you, but based on the type of history provided by you it appears to be the closest possibility. This is supported by following facts:
- Sudden appearance of the marks.
- Appearance at accessible sites.
- Appearance on left hand ( I think she is right handed girl)
- Skewed appearance in a time frame. There is no correlation with any type of infection in such a variable time period.
- Lastly the biopsy
done is the best is the best kind of investigation we dermatologists believe in. The biopsy shows the evidence of burn mark which is the ultimate evidence that no other infection is present which can cause such kind of problem.
Now I request you to visit Dr. Lyn who performed the biopsy and rule out the possibility of "Factitious dermatitis".
In between kindly keep a close watch on your daughter and her nearby people and her friends. Check for any emotional instability in the little kid.
I reassure you that as per the history provided it is quite simple probel and you will definitely take out the little angel from this situation.
Hope to have provided the helpful informations regarding your problem. I you have any other queries I would be happy to help.
With best wishes"
Dr Sanjay Kumar Kanodia
MD (Dermatology & STD/Venereology)