Slow healing cut

[Catherine]

Sarah cut herself in the shower on Friday morning morning, not quite sure how. It on the outside of her ankle about her 3cm long not deep. Still bleeding slightly when changing the dressing.

I have a blood test request for full blood count. Wondering whether this is enough reason to have it done. I thinking worsing anemia.

 

[crohnsinct]

Gee I don't know but it couldn't hurt especially if it makes you feel better...it wasn't too long ago she wasn't feeling great anyway. That said, ankles heal slowly anyway...the skin is pulled there and there is quite a bit of pulling and such as that joint get alot of movemet. I had ankle surgery and it took forever for that incision to heal and it healed ugly. I had another surgery on the bottom of my foot and it healed beautifully even though the bottom bares so much pressure....go figure.

Was she shaving? Is it time for championships? OUr team has a no shave until championships rule.

 

[Catherine]

No she was not shaving.

The fact she does not know how she cut herself is concerning. She thinks it was in the shower.

She also had Thursday of school generally unwell.

Open championships were last weekend, Sarah did not qualify.

 

[crohnsinct]

O didn't qualify for her long course championships either. She has been off the whole month of August...should make the GI happy as she is gaining weight.

Good luck with the blood tests...I really hope everything is fine.

 

[Catherine]

Our were short course.

 

[my little penguin]

I would at least call the Gi/ped to get their input-
But I call our doc daily.:shifty:

 

[Catherine]

As of last night the cut has stopped blooding. Will have blood tests done on Saturday. More for by peace of mind. Doctors appointment are hard to get a moment due to flu season and Sarah doesnot want to miss any more school.

 

[DustyKat]

Good luck with the blood test Catherine!

Your Sarah was on steroids for few months so I wonder if there has been some residual effect from those that is being aided by the Seretide??? Corticosteroids can thin the skin and impair the healing of wounds. Just a thought.

Dusty. xxx

 

[dannysmom]

I am glad the bleeding stopped!

Good luck with the blood test Catherine!

Your Sarah was on steroids for few months so I wonder if there has been some residual effect from those that is being aided by the Seretide??? Corticosteroids can thin the skin and impair the healing of wounds. Just a thought.

Dusty. xxx

Dusty, do you know how long steroids could keep the skin thin? And would this also apply to topical steroids? (like those given in epidural steroid injections?)

thanks

 

[crohnsinct]

Dang! Dusty is right...I forgot that one! Blame it on the alcohol!

 

[DustyKat]

I'm not sure Jeanne. The wearing off of the side effects of Pred seem to vary greatly. I would think that if it took say took 6 weeks to lose the moon face then perhaps the skin issues would be similar??

Oral, topical (creams and ointments), inhaled and IV steroids have the potential to cause thinning/fragile skin but intralesional (epidural) injections seem to largely bypass this problem. They do however still have the potential to impair wound healing.

Dusty. xxx

 

[Catherine]

The steroids easely be part of cause. Corticosteroids resulted in Sarah cutting back her use of seretide as she was obtaining peak flows that she had never seen before. She adjusts her seretide dose to keep her peak flows at 500. She was having peak flow up around 600, at one stage she was down to 1 dose every 24 hours, she normally use 2 doses every 12 hours. The pred effect is starting is starting to wear off.

 

[Catherine]

Jeanie

The positive effects on asthma/lungs is only now wearing off 8 week are stopping pred and the last 2 weeks on pred was taking really small amounts because once got down 10mg she began taping at 1mg every 3 days. Some of the wearing off may be due more to the two colds she had in the last month.

 

[Patricia56]

People with CD are notorious for having skin problems. A doctor once told me this is partly because during fetal development the cells that form the skin and the lining of the intestines are originally from the same kind of cell.

My son has also had persistent minor skin problems and nearly always gets a localized infection from ingrown hairs and small cuts unless he takes very good care of them.

I wouldn't be too worried about it. Do you think that since she's very active and swimming daily, that the skin isn't getting a chance to knit closed before it is being pulled apart again by her activity?

 

[jmckinley]

Oh, that answers that! Ryan is weaning off of prednisone also and his asthma has been giving him some trouble in band. I never thought about the prednisone helping him play!

Ryan has skin issues too. His is mostly his hands. They are ALWAYS dry, chapped and usually bleeding around the knuckles and between the fingers. And the knock to his leg should not have opened up and bled like it did. Still, there's a hole!