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4 year old with skin condition

Discussion in 'Pediatrics' started by Heather J Bassett, Jan 12, 2007.

  1. Heather J Bassett

    Heather J Bassett Well-Known Member


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    Hi seeking assistance with a diagnosis. 4 year old presented with both forefeet MPJ's plantarly and both hallux plantarly and 2-5 toes.....with minor thickening of skin. Skin peeling fissure open at times. Anhydrotic, lessor toes extremely dry and flaky.
    Mum suggests time line is 12 months but not specific.
    Tried antifungal cream no change.
    Tried sorbolene recently might be helping?
    GP no thoughts or treatment see Pod.
    History of eczema both posterior knees, mild, Tx cortisone
    MPJ'sdistally skin healthy normal.
    Hands, fingers normal.
    Paternal Uncle may have psoriasis.
    3 year old sister no evidence.
    18 month old normal.
    4th child under 4 not sighted but apparently normal.
    Otherwise child healthy "normal".
    Footwear leather, good condition.
    Flexible, chews off the skin that is peeling.
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Re: 4 year old

    atopic eczema
     
  3. Heather J Bassett

    Heather J Bassett Well-Known Member

    Re: 4 year old

    Treatment I have suggested is try the same cream that is used on eczema.
    Reduce chewing of feet.
    Wear socks to protect feet in sandals due to the very hot weather we are currently experiencing.
    I expect the cortisone cream will help but still have no Name? for condition?
    Asked mum to check family historys for skin conditions or any thing else outside square?
    We will review child in 2 weeks to assess treatment plan.
    Appreciate any assistance.
    KInd regards
    Heather Bassett
    Pod
    Melbourne
     
  4. Heather J Bassett

    Heather J Bassett Well-Known Member

    Re: 4 year old

    Hi Craig that was quick, my thoughts if atopic would it be same for 12 months??
     
  5. Heather J Bassett

    Heather J Bassett Well-Known Member

    Sorry should have added ,
    no rash appearance,
    no spots, no redness
    and No ITCH
    definitely only forefoot

    only sore when fissures open and layers peeled deeply?
     
  6. R.E.G

    R.E.G Active Member

    You could try Googling
    Juvenile plantar dermatosis.

    Some very good pictures, and treatment advice

    Bob
     
  7. Heather J Bassett

    Heather J Bassett Well-Known Member

    thanks Bob will try that... cheers Heather
     
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