Final answer:
The primary consideration for the recurrent arm swelling in a 7-year-old girl is hereditary angioedema, a genetic disorder that affects the function of C1 inhibitor protein.
Step-by-step explanation:
The primary consideration for the recurrent arm swelling in a 7-year-old girl is hereditary angioedema, a genetic disorder that affects the function of C1 inhibitor protein. This disorder can cause swelling in various parts of the body, including the arms. Swelling may be nonresponsive to steroid treatment and is often misdiagnosed as an allergy. Given the girl's symptoms and history of recurrent arm swelling, hereditary angioedema should be considered as the primary diagnosis.