My son just completed BEPX3 last Monday. He mentioned his toes bothering him a few days prior, but I did not see anything when I examined his foot. However, by Wednesday I could see what looked like a red bumpy area around the cuticle of his big toe on the side adjoining his second toe.( He also had a mouth sore that appeared to be getting worse and was just not feeling as well as we were thinking he should.) By late Thursday night I was becoming concerned and emailed our Oncologist who got right back to me and insisted we bring him in to the Clinic on Friday morning. At first he thought it could be an ingrown toenail and suggested soaking it in Epsom Salt. I am not so sure that is accurate from it's appearance though. It appears now like it is turning white in one spot, though he won't let me touch it. It is extremely tender and difficult to wear shoes.
While there, they wanted to re-test Austin's counts and when they came in the Oncologist was a little surprised to see they had gone DOWN even further than Monday! He seriously considered admitting him to the hospital for IV anti-biotics, but instead called in a script and told us to keep a close eye on him over the week-end. ( Believe it or not, the only reason he did not insist Austin stay in the hospital is because he said he knew we would be diligent about following through, but he actually has pediatric patients whose caregivers continually neglect to fill or administer medications?!!)
Austin never had any issues with his feet throughout the entire chemo process nor has he ever had anything like this before. He also has been taking at least 2-3 showers daily as they seem to make him feel better. I am under the impression though that this is due to a low immune system, not any chemo meds, at least in this case.
We are heading up to Hopkins tomorrow and will have his toe examined again by the PA in Clinic (who has been there for 24 years). I will ask him if he thinks this could possibly be from the chemo, but I am interested to hear what your Doctor has to say as well.
Cook/Maid/Chauffeur/ATM Machine/Personal Asst. to Austin
12/07/11 I/O AFP: 291 hCG: 151
12/08/11 CT Scan, Xrays - clear
12/15/11 Non Seminoma Stage1-B
EC, Teratoma, Yolk Sac, Intratubular
4/21/12 Relapse- Start 3XBEP
6/25/12 Finished BEP
7/02/12 Markers and CT Scan normal
7/11/12 Port Removed- back on Surveillance
10/3/12 3 month post-chemo check-up - All Clear!
2/28/13 8 month post-chemo check-up - All Clear!