1: An itchy, slow-growing infant
2: An agitated atopic child
3: An acute monomorphic eruption in a systemically unwell atopic child
1: An itchy, slow-growing infant
p1 26 wk baby boy หรือ 6 เดือนกว่า , developed generalized dry , red , itchy rash ในช่วง 7 wk
apply regular emollient diligently , bath emollient
waking more , ดฉกลางคืน จาก his skin
mother worry weaning , breast-fed , unrestricted diet
เคยได้กิน formula milk เพียง 60 ml – vomiting – develop rash และเกิด rash ตอน his father kissed him , immeidate after eating egg mayonnaise sandwich
first baby , mother – has asthma in chilhood , father allergic to sellfish
no pet at home , father smoker , baby born at term , normal vaginal delivery , vaccinated at date
height reach plateau – 8 wk , 9th centile , rub legs vigorously when undressed
generally dry skin , widespread low-grade erythema and raised
poorly defined patches of active eczema , widespread excoriation
no clinical of – impetiginiziation
low-grade generalized shotty lymphadenopathy
skin prick test
what is this eruption ? food allergy ?
what asso condition does he present with ? แพ้ ไข่ขาว ถั่ว
what dietary recommendations will you make for baby (and mother)?
p2 Answer – eruption – eczema