7yo with recurrent mesenteric adenitis, petechiae/bruising, rashes, headaches & ongoing abdominal pain — unsure if we should push for further workup
7yo female (turning 8) with ongoing unexplained symptoms for ~1 year and I’m trying to work out whether we need to push harder medically or if this still sounds consistent with recurrent viral/inflammatory issues.
History:
2023: suspected EBV/CMV infections (positive past infection testing later), recurrent infections, occasional transient hive-like welts and red patches/rashes that come and go quickly
June 2024: non-blanching rash/petechiae → referred to hematology
Diagnosed with von Willebrand disease
Nightly abdominal pain started around same time
2024–2025:
Ongoing intermittent abdominal pain
Jan 2025: multiple ED visits → diagnosed with mesenteric adenitis, gallstone, then starvation ketosis requiring overnight fluids
Symptoms improved but never fully resolved
Since Feb 2025:
More frequent abdominal pain
Intermittent itching/hives/rashes
Occasional petechiae/bruising
Strong histamine-type reaction when lying in grass (new)
Viral conjunctivitis
Frequent headaches
March:
Mesenteric adenitis confirmed again on ultrasound
Gallstone increased to 5mm and CBD now 4mm
April:
Daily stomach pain + headaches
Petechiae/bruising improved somewhat
Reduced lactose/high-fat foods
Most recent event:
Fainted at school, then vomited multiple times afterward
Pale appearance + swollen lymph nodes again
GP thinks possible viral illness on top of everything else
Bloodwork so far has reportedly been normal.
We are waiting to see a paediatrician, but I’m struggling with whether this sounds like:
recurrent viral/inflammatory issues with bad luck
something immune/allergy related
something we should be escalating harder
Not looking for a diagnosis, just wondering whether anyone in medicine/parents have seen a similar pattern or have suggestions for what types of conditions doctors usually consider with this combination of symptoms.