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Child having asthma, fever, sore tummy and rashes over legs. What is the required treatment?

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Posted on Wed, 28 Nov 2012
Question: hi my daughter is 5yrs old and asthmaic she has been having high temps (39.6) complains her eyes hurt in the light, sore tummy , rash that looks like hives all over her legs she has just got over pneumonia two wks ago (has had pneumonia 5 times this yr so far )
i am waiting to see specialist as they think she has floppy airways
doctor
Answered by Dr. Uma Rajah Ananth (4 hours later)
Hi XXXXXXX
Welcome to XXXXXXX
I have a few questions to ask you in the beginning.
1-You said she is borderline diabetic.what is her HbA1c and what is the management?
2-Was she on recurrent steroids for asthma and hay fever?
3-Is she growing well and otherwise normal?
4 -Do you have strong family history of diabetes?
5- when was diabetes diagnosed?

It is very strange for a child to get 5 times pneumonia in a year.
They have to investigate for the cause like floppy airways,ciliary dyskinesia ,vascular rings ,immuno dficiency etc.

Now high Fever,rash and sore tummy are suggestive of some infection.Get her examined and investigated as you have
planned.

One we have some advance work up we will be in a better position to manage her!
All the best
God bless
Dr Uma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Uma Rajah Ananth (20 hours later)
hi her management for diabeties is diet control at the the moment her finger pricks range from 5 to 9 ( my dad is type 1 , and have two aunties also type 1) she hasnt had steriods for two months since the last time she had pneumonia in hospital but has just got over yet another pneumonia two wks ago which i had to care for her at home. her weight is 16.4kg and her height is 95cm and shoe size is 11 ( i have to buy clothes afew sizes under her age) dr has only dagonsed her borderline diabetic in the last two mnths ( her pricks are getting higher with age apparently) i have just got my appointment to go back to specialist to check if she has the floppy airways. i have been to doc he has put her back on steriods and augmentin duo again.
doctor
Answered by Dr. Uma Rajah Ananth (3 hours later)
Hi XXXXXXX
Thanks for the details nicely written!
Recurrent steroids use which she is on (and cannot be avoided if she needed them for wheezing) is a predisposing factor for precipitating diabetes in a child who is prone for it.
Normal children will not get this from steroids in this age.
Your family history is significant in this matter.

Her weight and height are just at 10th percentile.
Wonder what she was like at birth?(birth weight and length)
Recurrent steroids, recurrent infections,diabetes all contribute to this problem.

There is always tendency for sugar to go up with infections and steroid use so you have to monitor her closely at these times.

Glad that you got the specialist appointment there for further investigations.
God bless the child.
All the best
Dr Uma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Uma Rajah Ananth (16 hours later)
hi she was born 8pd 8 and 42cm long :)
doctor
Answered by Dr. Uma Rajah Ananth (5 hours later)
Hi XXXXXXX
Thanks,
Birth weight was OK but length was short.
Anyway we will wait for your appointment with the doctor.
Regards
Dr Uma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Uma Rajah Ananth

Pediatrician, Neonatology

Practicing since :1970

Answered : 891 Questions

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Child having asthma, fever, sore tummy and rashes over legs. What is the required treatment?

Hi XXXXXXX
Welcome to XXXXXXX
I have a few questions to ask you in the beginning.
1-You said she is borderline diabetic.what is her HbA1c and what is the management?
2-Was she on recurrent steroids for asthma and hay fever?
3-Is she growing well and otherwise normal?
4 -Do you have strong family history of diabetes?
5- when was diabetes diagnosed?

It is very strange for a child to get 5 times pneumonia in a year.
They have to investigate for the cause like floppy airways,ciliary dyskinesia ,vascular rings ,immuno dficiency etc.

Now high Fever,rash and sore tummy are suggestive of some infection.Get her examined and investigated as you have
planned.

One we have some advance work up we will be in a better position to manage her!
All the best
God bless
Dr Uma