What causes recurrent mosquito bite like rashes which causes swollen eyes and lips?

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Posted on Sat, 6 Jun 2015 in Skin Hair and Nails
Question: Mr grandson 4 years last Mar. broke out in what look like mosq. bites but they did not go away and more would break out. During this time he began to also have an allergic reaction to something. Lips and eyes swell. Took him to pediatric allergist ran pricks came back grass, mold dust was the worst. We were sent to pediatric skin doc. she said he had "sweet blood" and bugs were just drawn to him. He continued break out on arms, back, chest, back of head, and face so back to skin doc. She took a bio. sent it off and it came back skin irritant.She said she did all she could go back to allergist. She put him on and antibiotic for 30days and liquid to keep him from itching and about 5 creams. He had continued to break out not as bad and tonite had another bad reaction to something lips swollen , eyes swollen. give him benadryl, prednisone . Any suggestion on what to do next at wits end.

I don't have the report from the skin doc. but I cant get it from my daughter and send it
doctor
Answered by Dr. Vasudha Jayant Athavale 3 hours later
Brief Answer:
Home care, pediatric allergy specialist treatment & maintanence help.

Detailed Answer:
Hi XXXX,
Thanks for your query under HCM forum.

Allergy an accelerated reaction of immune system to allergens ( triggering agents), which cause the skin symptoms in your grand child, & to witness the little one in trouble is really stressful. I understand your concern.

You had already done allergy testing & got the results. In spite of that I have few things to suggest.
* It seems there was concentration on triggers from environment / treatment my medication mainly. From the fact that the exaggerated symptoms were early in morning- I feel it's related to food taken the night before/ bed mites/ personal articles used. management of allergy includes-
- Recognizing allergen in environment, house, food & the personal cosmetics/clothes.
The allergy pricking tests did not mention any food eaten by child as a triggering factor. Many a times baby may be allergic to dairy products, certain pulses,, veges, fruits. I would suggest allergy detection for food also/ maintain a diary to note down the food eaten before baby had severe symptoms. & try to avoid those.
- similarly bed mites are also known to cause skin allergy. Proper cleaning of bed mats with vacuum extraction/ washing bed linen regularly, saying good bye to rugs & use washable blankets. Keeping the bed room mosquito free- are some of the preventive majors that can be applied.discard carpets that cling to dust/ mites.
- keeping bathrooms mold free,
- avoiding entry of pets in bed room/ don't allow baby to play or handle the pet.Avoid playing in grass.
-baby should use cotton clothes, avoid tight fitting synthetic clothes/ undergarments.Observation of flaring symptoms after use of cosmetics & avoiding once those which are triggers is needed.

* Management - Allergic reaction is a viscous circle of, exposure to allergen- bodily reaction( histmin release)-symptoms- scratching- exaggerated symptoms- more bodily reaction & so on. So management should be aimed at-
- Avoiding exposure to allergen,
- medication till & few days after the rash disappears & be on maintenance dose as per pediatric allergy specialist.( usually anti allergic drugs/ cortisone are given as per need,/in tapering doses)
- allergy testing & desensitization treatment as per allergy specialist's advise.

* To be on guard for- respiratory allergic symptoms ( cold, bronchitis) or exematous skin involvement is needful
sever allergic reaction with swelling of lips/ eyes need to be attended by an expert. Please avoid managing it at home.

* Followed by-
- continuous avoidance of allergens ( food/ environment, personal articles in use)
- medicines as per advise/ application of ointment or lotion to avoid recurrence
- To be on guard in seasonal allergies

I feel, though allergy is a tedious condition to manage, a methodical approach by observation & maintenance of diary, expert pediatric allergy specialist's advise,after investigations & specific follow up would definitely lead you to solution & your grand son would be out of the problem.


I hope, the answer was both informative & useful to you. Any follow up query is welcome.
Thanks,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vasudha Jayant Athavale 8 hours later
Last night he had a flare up lips swelled and eyes swelled gave benedryl and pred. His mom and dad took him to emergency room where the doc told them if it was food his throat would swell so he said it was the elements. Gave him a different med. for swelling this morning he is still somwhat swollen.
doctor
Answered by Dr. Vasudha Jayant Athavale 3 hours later
Brief Answer:
prevent exposure to allergen/ expert's advise/medication/desensitization

Detailed Answer:
Hi XXXX,
Thanks for your follow up query.
- The skin rash as you describe ,in form of insect bite like itchy bumps are more commonly from food allergies / insect bites/medicines allergy/ pets saliva.
- Food does not produce allergic reaction in throat( because it is swallowed from there,)The allergen in food items - get absorbed from gut to enter blood. Through blood it reaches to all the body( sinuses, lungs, throat) & so also skin ( in your grand sons case,)- causes allergic reaction & symptoms in skin/ soft tissues/ junction of skin & mucus membrane.
- The reaction on lips/ eyes tend to spread fast with respiratory involvement.- so it is advised to be treated vigorously under a doctor's care.
-Allergic reaction may disappear within minutes or it may take few days to go. What is needed as I had already explained is to-
- Identify the (trigger) allergen by testing/ observation & diary maintenance
- Avoid contact with the allergen..
- Take anti allergic medicines/ steroids for sufficiently long time ( as per doctor's advise) to break the vicious circle of allergic reaction, symptoms & exposure to allergens.
- Maintenance dose to be continued ,to delay/ prevent recurrence.
*I still think checking for food allergies/ insect bites to be treated by desensitization after expert advise of pediatric allergy specialist to help the baby permanently.
I hope that helps you.Any follow up query is welcome.Please grade the answer before closing it.
Thanks.

.

I hope the point is clear to you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Vasudha Jayant Athavale

General & Family Physician

Practicing since :1970

Answered : 7536 Questions

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