Differential Diagnosis for White Swelling to End of Toe
- Single most likely diagnosis
- Traumatic toe injury (e.g., stubbing or jamming the toe): This is the most likely diagnosis due to the common occurrence of such injuries and the typical presentation of swelling and pain.
- Other Likely diagnoses
- Ingrown toenail: This condition can cause swelling, redness, and pain, especially if infected, and is a common issue affecting the toes.
- Paronychia: An infection of the skin around the nail, which can cause swelling, especially if the infection is severe or if an abscess has formed.
- Gout: A form of arthritis that can cause sudden, severe attacks of pain, swelling, redness, and tenderness, often in the big toe.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Osteomyelitis: A bone infection that can cause swelling, pain, and redness, and if left untreated, can lead to serious complications, including sepsis.
- Gangrene: A condition where tissue dies due to lack of blood supply, which can be caused by various factors, including infection, trauma, or poor circulation, and requires immediate medical attention.
- Compartment syndrome: A condition where increased pressure within a muscle compartment can lead to nerve and muscle damage, and if not treated promptly, can result in permanent damage or even amputation.
- Rare diagnoses
- Erythromelalgia: A rare disorder that causes burning pain, heat, and redness in the hands and feet, and can also cause swelling.
- Raynaud's phenomenon: A condition that affects blood flow to the fingers and toes, and can cause swelling, pain, and discoloration in response to cold or stress.
- Tumor (e.g., osteochondroma, glomus tumor): Although rare, tumors can cause swelling and pain in the toes, and should be considered in the differential diagnosis, especially if the swelling is persistent or worsening over time.