A member asked:

My 3 year old son has a mystery lung problem for over a year now. he has chronic bronchitis and multiple hospitalizations. he waas hospitalized with107 fever andnow peeling skin on his toes and fingers. what could it be?

5 doctors weighed in across 3 answers

Many possibilities:: Anything from an undetected foreign body in the bronchus, to atypical asthma, to an immune deficiency or cystic fibrosis. Peeling skin does not help in making the diagnosis; you need a good pulmonologist.

Answered 7/17/2013

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Worrisome findings: With the addition of high fevers & pealing fingers & toes, i would worry an additional issue has emerged.In this age group, kawasaki disease can emerge & quick verification is important to the success of treatment. The other lung issue is worrisome but can be worked out over time.Immunoglobulin deficiency, structural abnormalities, cilia dysfunction, CF & other problems could be present.Good luck.

Answered 6/10/2014

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Agree with both : I agree with both drs. Ferguson and belilovsky. This sounds like a complicated case and more than likely has more than 1 answer. The fevers/skin definitely raises the possibility of kawasakis, ut the other chronic lung problems are best evaluated by your pediatrician and a pulmonologist. Good luck.

Answered 8/9/2013

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