Flying Birds Dermatology Image Based Revision for FMGE / NEETPG PDF Download
Flying Birds Dermatology Image Based Revision is essential for FMGE / NEETPG may be this is not for preparation of the Exam but you will find this essential for FMGE / NEETPG revision. Almost all Dermatology Questions will be Image Based so it will be easier for you to crack the examination.
Flying Birds Dermatology
This eruption is eczema. The history his mother gives makes an associated food allergy probable – likely to egg and cow’s milk protein (CMP). This, in combination with a positive family history of food allergy and asthma, means we can classify his skin condition as atopic eczema. His mother is correct to be anxious about weaning him.
It would be appropriate for this baby to be investigated for associated food allergy. Food allergy is more likely in babies presenting with eczema from a young age, and it is possible that food allergy may be contributing to the activity of his eczema and vice versa. The first line investigation should be skin prick test (SPT) to the common weaning food protein allergens (CMP, egg, soya, wheat, and fish). Peanut is commonly added to this initial panel.
The history suggests that this baby is likely to be allergic to egg and CMP, and this has been confirmed by SPT. It would be worth restricting his mother’s intake of these proteins if she intends to continue breast-feeding as this may improve eczema control. If his mother wishes to stop breast-feeding, the most appropriate alternative at his age would be an amino acid formula.
The incidence of coexisting CMP and soya allergy is high and the positive SPT would suggest this baby is currently allergic to both. CMP and egg are nutritionally important and ensuring a balanced diet while restricting both can be challenging; specialist dietetic advice is important. Low-grade exposure to allergenic proteins through maternal milk might be contributing to skin signs and his static growth parameters.