What is the reason for the pain in the child's kneecap and cold feet?

Patient's question:

My child is 9 years old this year. About four years ago, he started experiencing occasional knee pain, mainly in his right foot. I asked a doctor, and he said it might be growing pains, so I didn't take it seriously. Recently, he started saying his feet feel cold, but it's still summer. Who can tell me what's going on? What tests and treatments should be done?

Doctor's answer:

Hello, there may also be peripheral vascular disease, it is recommended to go for general surgery examination.

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