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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Painful, Purple Bump On Birthmark Where Leg And Butt Meet With No Help From Antibiotics Indicate?

I have a 9 cm lymphnode and my doctor put me on an antibiotic to see if the swelling will go down. It s so far not working and now I have a very swollen and very painful bump on my birthmark near where my leg and butt meet but inner and it s purple and red like.
Fri, 12 Jun 2015
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General Surgeon,  's  Response
Hi,Dear,Thanks for the query to My HCM Clinic.I studied your query in depth.I feel concerned about the worry you expressed.In my opinion-the painful-bump non-responding to antibiotics-is-mostly-a Lipoma at the Sacral Dimple with a subdued spina-bifida underneath a purple-reddish-Birthmark.? ant thats why antibiotics not working-for the pain.?or could be Pilonidal Sinus ?I would advise -MRI study of the bump and consultation with a paediatric surgeon / and ortho-surgeon / and or-neuro-surgeon- who as a team could be of help in planning right treatment.The pain does not appear to be due to infection / inflammation, but is due to the stretching of the neural fibers around tyhe lipoma over a spina-bifida, which is the possiblity from the facts of the query.Hope this would help your query.Wehe llcome for more queries to HCM.Have a good day.
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What Could Painful, Purple Bump On Birthmark Where Leg And Butt Meet With No Help From Antibiotics Indicate?

Hi,Dear,Thanks for the query to My HCM Clinic.I studied your query in depth.I feel concerned about the worry you expressed.In my opinion-the painful-bump non-responding to antibiotics-is-mostly-a Lipoma at the Sacral Dimple with a subdued spina-bifida underneath a purple-reddish-Birthmark.? ant thats why antibiotics not working-for the pain.?or could be Pilonidal Sinus ?I would advise -MRI study of the bump and consultation with a paediatric surgeon / and ortho-surgeon / and or-neuro-surgeon- who as a team could be of help in planning right treatment.The pain does not appear to be due to infection / inflammation, but is due to the stretching of the neural fibers around tyhe lipoma over a spina-bifida, which is the possiblity from the facts of the query.Hope this would help your query.Wehe llcome for more queries to HCM.Have a good day.