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 [WTA] Need help urgently for a little boy, Anyone seen similar cases?

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henryhing
post Sep 11 2011, 09:03 AM

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QUOTE(trencher10 @ Sep 9 2011, 09:59 PM)
Eczematous pruritus does not respond to antihistamine action, especially the non-sedating 2nd generation like cetirizine. This is due to the eczema's pruritus mechanism hypothesised to be quite different to other itching mechanism. IIRC, the postulated agent for itching in eczema is Staph. aureus under conditions where the skin is dry, which why very methodical and meticulous moisturising is advised, and observed to work.

The sedating antihistamines like alimemazine are used, at night, for sedation purposes.
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?? U cut and paste from some research. Anyway in Malaysia I dont think Alimemazine is widely use as an antihistamine. I believe Eczema also got many variants. Basically anti histamine acst by blocking Histamine which is produce or brought up by most allergens which causes allergic reaction in the body which includes skin allergies.

Anyway back to topic, its good to go see a dermatologist to arrange for a blood test, maybe skin biopsy and so forth. There could be more systemic cause for the rash like celiac disease where ur child needs gluten free diet. It may also be just simple flare up of fungal infection from regular topical steroid use. Too many other possibilities thus it needs to be examine by someone with dermatological experience. Good luck. Please share progress here ok so we all can benefit from knowledge as well. smile.gif

This post has been edited by henryhing: Sep 11 2011, 09:05 AM
TSn8210
post Sep 11 2011, 12:36 PM

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**By the way, which products from USANA did the boy consume?
Ans: Many types, from the fish oil, vit c, grape seed, nutrimeal (something like milk powder, or oatmeal kind of stuff), calcium, and many more. In fact, when he started to have skin problems, the seller asked them to increase certain dosage. Their reasoning was the usana products are taking effect, cleaning his internals. And the parents bought it. They bought into the story. Giving more, buying more, eating more.

The sister was younger and had no problems. When she had running nose, they gave her vit c and grape seeds, and she become better. So that made them more confidant in the product and while the sellers keeps on providing advice on the side. But now when I asked the mother if they had a choice to go back in time, the mother said they will do it differently, WITHOUT the use of usana products. They regret giving their son too much of the products.

But from their daily lives, daily practices, you know these are people who try to stay natural, healthy by alternative means as compared to taking modern medicine. They rarely fry meat or fish, use very little oil, no junk food, soft drinks, ice creams, sweets or chocolates. No late nights, no sweet buns or cakes. They steam bananas, potatoes, sweet potatoes, veges for breakfast, for snacks, or for fun. Wheat bread as opposed to white bread. UMF active +10 honey with onions as opposed to antibiotics. They are that kind of lifestyle.

**Firstly did the rash respond to the regular topical medicine or anti histamine ( ubat gatal ) given by the previous doctor/s ?? Does the rash disappear and reccur at different parts of the body ? Your son got any nose allergy ( running nose or eye irritation) in the morning? Anyone else in the family has the same problem b4?

Ans: No, the rash keeps coming back and never subside. The most effective medicine (for outer use) was given by a chinese doctor practicing eastern medicine. Other than that, western med didn't help much and the parents fear prolong usage would do harm due to steroid contains. He has no nose allergy or eye irritation in the morning. The father does have eczema.


**have tried moving the kid to live in another location? This will rule out whether the home location is causing the problem. Maybe shift to grandparent's house. Do not bring along any pillows or clothings. Use totally new cloths. Sort of change the lifestyle.

Ans: No, still in the same house. Sad to say, the grandparents seems not very interested at what is going on.


As for the question on blood test, the parents says doctors did not order for one and they feel it is not necessary. Kinda hard to repeat what the doctors said right now, but roughly this site explains more or less why doctors do not immediately look into blood test, or allergic test.
http://www.skincarephysicians.com/eczemane...gy_testing.html

Sometimes I wonder if they should stick to only one doctor and really have confidence it the doctor. But hard to blame them cause it is their son, and when your son is crying everyday asking you why is this happening, why it won't go away, why it hurts,... I think most parents can't just sit and play faith with only one doctor.


Added on September 11, 2011, 12:45 pm
QUOTE(henryhing @ Sep 11 2011, 09:03 AM)
?? U cut and paste from some research. Anyway in Malaysia I dont think Alimemazine is widely use as an antihistamine. I believe Eczema also got many variants. Basically anti histamine acst by blocking Histamine which is produce or brought up by most allergens which causes allergic reaction in the body which includes skin allergies.

Anyway back to topic, its good to go see a dermatologist to arrange for a blood test, maybe skin biopsy and so forth. There could be more systemic cause for the rash like celiac disease where ur child needs gluten free diet. It may also be just simple flare up of fungal infection from regular topical steroid use. Too many other possibilities thus it needs to be examine by someone with dermatological experience. Good luck. Please share progress here ok so we all can benefit from knowledge as well.  smile.gif
*
Actually, I would also recommend a blood test although I am no doctor. But I don't think they will do it, especially when all the specialist they have been to, none subscribe to one. So who am I to order for one. I have talked to them, but I think they are not interested to do one right now. Blood test do mean inserting a needle into the boy to obtain blood. And they are very protective of their son right now. So looking at the circumstance, I would not pursue this for the time being, unless there is a doctor who would recommend one. There is another skin specialist (modern med) which they seem to have interest in visiting. Let's hope he can help.

Oh, the chinese doctor did comment saying his little liver was damaged, and strong medication could harm him. He does not recommend any strong medication, but leave the decision with the parents whether they think it is necessary to seek other advice or not. So in the meantime, the kind doctor is giving something less strong to heal his liver and to sooth his itch. Hopefully the little boy can get more sleep and recover fast. Kids are always growing, so hopefully whatever damaged heals fast, whatever not needed in the body comes out fast too. We thank everyone for your contribution. We view all comments as efforts to help, no matter what your intention is. Nonetheless, it is an effort. Please accept our sincere appreciation.

This post has been edited by n8210: Sep 11 2011, 12:45 PM
entryman
post Sep 11 2011, 03:30 PM

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This could help too. Not much blood, just a small lil prick on the tip of the finger.

http://www.hsc.com.my/eng/food-intolerance.php


klifex
post Sep 11 2011, 07:11 PM

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can't tell from the picture
the ear part seems a bit weird for eczema because there's a blister there...
the rest seems like old scars + scratch marks...

can you provide the picture of the palm, foot , any involvement of fingers/toes.and if the lips/eye involved?

i think for the time being, can try anti histamine round the clock judging from the degree of itchiness.
You can give him piriton one tablet before sleep as this will ease the itchiness.
apply some urea cream on skin.
make sure u remove all his finger nails.

because skin break will potentially leads to secondary infection.

trencher10
post Sep 11 2011, 07:49 PM

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QUOTE(henryhing @ Sep 11 2011, 09:03 AM)
?? U cut and paste from some research. Anyway in Malaysia I dont think Alimemazine is widely use as an antihistamine. I believe Eczema also got many variants.
*
Yes, I cut and paste from some research because it was required reading for my dermatology rotation. If you wish to read a several pages long report on eczema and psoriasis, and be enlightened, please contact me. And I used alimemazine as an example as I have no Malaysian pharmacopeia, nor a practicing Malaysian dermatologist on call to ask what their antihistamine prescription practices are for eczema.

This post has been edited by trencher10: Sep 11 2011, 07:51 PM
missytan
post Sep 12 2011, 11:37 PM

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Poor boy! My heart goes out to him as my daughter also suffers from skin problem ie eczema/sensitive skin(I have to even bandage her legs at night to prevent scratching !) but your friend's son's problem seems more serious - I would definitely suggest getting a proper diagnosis.

Usually the first treatment doctors give will be to try stop the itch with oral antihistamines. There are 2 types - the non-sedating (non-drowsy) types for daytime use like Zyrtec, Clarityne, Aerius (these are all brandnames) and the sedating types for night use like Polaramine, Phernegan, Atarax etc. They may also prescribe steroid & antibiotic creams to be applied - these help to reduce the inflammation & prevent/treat infections esp on the open sores. Steroids may seem scary,but don't worry, they are safe as long as they are used sparingly & for short period.

For bathing, do not use any harsh soaps - I suggest Pinetarsol solution or gel as this helps to reduce the itch & inflammation, even though the smell needs getting used to ! Other gentle cleansers in the market are Cetaphil, Physiogel, QV Wash...

The most important thing now is to find a good skin specialist who can correctly diagnose his problem & give him the right treatment. A blood test would be helpful as well. Do keep us updated. Good luck !

This post has been edited by missytan: Sep 13 2011, 04:44 PM
tometoto
post Mar 24 2019, 07:29 AM

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how the status of this bow. now 2019.
hoping he is fully recover

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