Last Wednesday was Ryker and Kody's well check appointments with Dr. Bennett. They had both had colds from the previous week and Kody still wasn't feeling 100% with the cough and runny nose. But that was just the start of what has turned into quite the week.
While Dr. B was looking over Kody he noticed a rash on the back of this legs/thighs. This was the first I had seen of it as he didn't have it the night before during bath time. After checking it out further he said it was likely HSP (Purpura) which is where your capillaries under the skin are leaking and leaving red spots. Most likely it'll go away in a couple of weeks and over the course of a couple months we would need to have a few urine analysis done to check for Kidney damage which can occur in rare instances.
back when it was just Purpura
As weird as I thought it was, I didn't really think it would turn into that big of deal. He had his kindergarten shots and we were on our way. The next day he wasn't feeling very good so I left a message for Dr. B. He called me back while we were on our way to the Nicholas Family Reunion up in the Logan area that evening and said that there was nothing to worry about and we'd just make sure to check is kidney function next week.
While we were at the reunion, he started feeling worse. The rash was spreading all over his legs and his ankles and knees were swelling up so big they looked like softballs. The poor kid couldn't even walk. He slept horrible at night and was constantly complaining about his stomach and ears. And he had a fever every time the ibuprofen wore off, although he would feel really good at the beginning of every dose. The poor kid was miserable 80% of the time!
more spots and swollen feet
swollen knee (picture doesn't do it justice, it was huge)
On Monday I left another message for the doctor. When he called me back that night and I explained to him how sick he was he wanted to bring him in the next day. He said that he shouldn't be that sick with just the Purpura. (Although all the literature I read did suggest the joint pain, stomach, and fever also). Kodes pretty much slept all day Monday. He had his kindergarten assessment that day and pretty much stared at his teacher. He was completely zoned out.
Tuesday I made an appointment for early afternoon. He was feeling awful, but I wouldn't give him the Ibuprofen because I wanted him to go to this appointment with all the things that were bothering him. Still his ears, stomach, feet, and the goop still coming out his nose. I felt bad though cause he kept going to the cupboard and getting out the medicine because he wanted some so bad.
Once we got to the appointment, Dr. Bennett was able to see just how sick he was. He looked over his rash which had now started to have big scabs which is not concurrent with HSP. He now had PLEVA which is similar, but different (how's that for a description)! Both HSP and PLEVA are not extremely common and it is not known why he would develop them. One of the possible reasons is because of his respiratory infection. There isn't a miraculous cure either. Both have to run their course for several weeks to several months and in some cases can turn to a life long problem. We are praying that this is not the case and he will be better in a few weeks. On top of that he also has a double ear infection and a sinus infection. He had a full blood panel, urine analysis and head x-rays done. The x-rays showed the sinus infection. The blood work all came back relatively normal. There were some elevations, but they were most likely because of the infections he fighting. He was also diagnosed with serum sickness which pretty much causes your immune system to go out of whack and fight it's self which can also be why his joints are hurting so bad.

at the doctors office yesterday
We left the doctors office with a prescription for a heavy dose of antibiotics and steroids. If this didn't work we would have to look into some other bad diseases. He came home and slept pretty much the rest of the day. Dr. B did say that he should be feeling better by the next day and if he wanted to he could go to his first day of Kindergarten. We began all the medicine that night and that was the first night in quite a few where he actually slept all night with out coming in several times to tell me something hurt.
Today he woke up feeling so much better. It was such a relief. He immediately got ready for school and was disappointed to find out that it didn't start until 12:30! Everything was looking good. He legs didn't seem to have as many spots and his fever was gone. He complained a little about his stomach, but that was it. I dropped him off to school and told him to have fun. When I went to pick him up he was in so much pain again. He could barely walk at all. Both feet were killing him and the rash had tripled all over his legs. He came home from school and slept. I took his temp and he was at 100. When he woke up from his nap, he couldn't bend his left knee or the fingers on his left hand. What the heck!!
what his leg looked like after school. Notice the scabs the the new rash will turn to scabs (most likely)
About this time I started to panic. Due to a lot of input from a lot of people over the course of the week, I had now convinced my self he had some thing really bad and was knocking on deaths door. I called and left a message for the doctor again. In the mean time to night, he's started to feel better and as I was talking to a friend outside, he decided to ride his bike. I'm pretty sure anyone who saw him thought I must have been exaggerating this whole thing!! The doctor called back tonight and pretty much reassured me that he's going to be fine, it'll just take a while. I'm feeling much calmer.
Hadley has her doctor's appointment tomorrow so I'm just going to take him with me in case he's feeling crappy again!