Conversation: The conversation between human and AI assistant.
[|Human|] My three 3/4 year old little girl ALWAYS has freezing hands and feet. She has always been small for her age, but recently seemed to catch up a little bit because she s in 4T clothes now. Autoimmune disease runs in my family (I have graves disease and a goiter myself), but her pediatrician gives her a CBC regularly to monitor her. Did I also mention she is a VERY picky eater and has to be on vitamins and ensure just to make sure she nutrient supplements? Other than that though she s a normal three year old and on target developmentally :) I know the old saying goes cold hands, warm heart , but I just wanted to make sure there isn t something I should have her peds look at next time she goes.
[|AI|]  Hi, Cold hands and feet are seen in: 1. Commonly due to cold exposure2. Palmoplantar hyperhi Chat Doctor.  Conditions which can cause neuropathy4. Reynolds phenomenon etc. Since there is a strong family history of autoimmune disorder, it is better to keep monitoring for any other symptoms. Symptoms to be looked for are rash, joint pain, fever, weight loss, bluish discoloration of fingers and digits if exposed to cold, excessive hair fall and loss of sensation.  As your child is started gaining weight and doesn't have any of the above-mentioned symptoms, you need not worry. I would suggest keeping her under follow up with the primary pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care