A 10-month history of progressive swelling below the knee makes this 12-year-old's case an ideal stop on the medical mystery tour.
The Mysterious Case of the Girl with Swollen FeetÂ is the third in October’s 4-part Medical Mystery Tour Special Report by Dr Jonathan Schneider.Swelling in the lower extremities in a child or adolescent is an uncommon presenting symptom. Dr Schneider had a hard time with this one and probably considered "turfing" it at one point.Â A review of original physical findings followed by a more detailed physical examination in this case provided the clues to a diagnosis.Sometimes when you're ready to turf the case but don't know which direction to send it, you can shift from being the "turfer" and get stuck as the "turfee." Be careful.Dr Schneider is a primary care physician with special interests in dermatologic disease and adolescent medicine. When you've complete this case, visit our large collection of his other intriguing cases.Scroll down for resources.