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What causes swelling on chin? - Online Doctor Chats

Date : 02-May-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I have swelling on my chin and it has a small pin size mark..when I press on it , it expells white clear fluid, like a blister would. I have had this happening for awhile now. It comes on my hands and the top of my feet and is extremely itchy...I also have small ones appear on the back edge of my hairline. I have no idea what this is..At the moment my chin is really swollen and when I press on it , it is spongey....
Let me read your query for few minutes to be able to have a good discussion here.
User:thank you
Doctor:Hi, it looks to me like you have an infection.
Doctor:Have you had any fevers or chills?
User:no I haven't
Doctor:OK, well, i think you need to go to your doctor and get a culture and sensitivity on the pus that can be extracted
Doctor:You probably need a course of antibiotics after that
Doctor:Lots of skin bacteria and bacteria we come across in the soil can cause this
User:it doesn't appear as appears as clear fluid...I had gone to my FP and she said it was ecema but I don't think that would swell like this
Doctor:ohh, thats changes things
Doctor:there is a type of eczema that is inflammatory
Doctor:may i ask if you spend alot of time in the sun?
User:but would that appear on my feet and hands
User:no, not at all in the sun..I am in Canada and it has been cold here
Doctor:it certainly can appear in the extermities as well
User:my husband is questioning whether I am Glutin intolerant!!
Doctor:the complication he's refering to s dermatitis herpetiformis
User:could it be that?
Doctor:it's incredibly rare!
User:once I squeeze all the clear fluid out the swelling goes down and the skin forms a scaley cover then heals until next time
Doctor:also, have you had any other stomach or digestive symptoms of gluten sensitivity?
Doctor:Bowel issues? Diarrhea, constipation?
User:no none of those bowel issues or stomach issues
Doctor:Right, getting a complication of IBS without getting the primary symptoms is not very likely
User:once I scratch the area , it comes up just like hives...
Doctor:Gluten sensitivity is a type of IBS (irritable Bowel Syndrome)
Doctor:Sounds like either and allergy or a chronic infection
Doctor:A good dermatologist can do a tiny procedure called a punch biopsy to look at the lesions under the microscope
Doctor:it will give u=you a diagnosis quickly with only minimal discomfort.
User:I thought of allergies right away because of the look so much like hives, however, I have remembered the foods I eat immediately before this appears and doesn't seem like an allergy but I'm not a
Doctor:a small bit of skin is taken under local anesthesia
User:that is very good advice and I do know a good dermatologist..Dr. Weatherhead in Ottawa. I will call him tomorrow and arrange an appointment..
Doctor:Oh, we MD's have trouble with this stuff too
Doctor:But i thnk you need to see a dermatologist and get a biopsy done
Doctor:Great! I'm glad you have access to someone you trust
User:I shall follow your advice....and thank you so much....
Doctor:Always happy to help!
Doctor:Take Care!
User:you are doing a great job...thank you again...goodnight doctor
Doctor:good night!
Doctor:hi again
Doctor:can i help you?
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