For the last three years five year old “Celeste” has been suffering from an enigma that begins at the start of each spring season and lasts until the end of fall. Red bumps resembling bites have been popping up all over her body starting at her ankles and finally spreading to the top of her head including her face. “Celeste’s” mother thought that they were nothing more then mosquito bites the first time they popped up and told her then three year old not to scratch. Remember back to when you were a child; the simple answer to a bad itch was simply to scratch. “Celeste” did scratch the red bumps till they bled and all of the “bites” became scabs all over her body. Her mother kept a close eye on her daughter and observed these bumps were continuing to pop up no matter where they were located; at the park, at home, at her grandparents house even at her local Wal-Mart. It began to sink in that maybe this was more than just a bug bite and her mother began to think on what could be the root cause of the break out. Though the first year was merely observation it seemed that as summer changed to fall and then turned to winter the bumps cleared up and she thought that the worst had passed. Thankfully there was minimal scaring on the child’s body due to the scabbing.
When the following spring began the bumps appeared again starting at her ankles and spreading upwards. This is when “Celeste’s” mother began to make changes to help make the little girl feel better. She began first by putting cortisone cream on the bumps to keep the child comfortable and to help restrain her from scratching. Then she gave her daughter oatmeal baths and changed her soaps from anything with fragrances to hypoallergenic Dove. This seemed to help for a short period of time then suddenly the bumps began to spread again. She then changed her laundry soap to fragrance free hypoallergenic Tide and saw another improvement for a short period of time then just as with all other treatments the effects wore off. She changed everything that she could in the child’s life that could possibly cause a reaction. One of the oddest incidents that occurred that summer was a simple walk from the car to the house, in the two minute walk “Celeste” had five bumps that appeared to be hives appear on her legs her body had not touched a single item on the walk so the hives were a mystery another oddity on the child’s skin. Her mother finally resorted to seeing the child’s pediatrician looking for assistance in taking control of the pesky bumps. The doctor was at a loss on what should be done after viewing the child’s marks most of them scabbing over after being scratched. She prescribed the child Augmenton for a possible skin infection, Allegra for the antihistamine and a Mupirocin ointment to put on the bumps when they were inflamed to help the child keep from scratching and hopefully ruling out impetigo and exema. This cocktail of medicines and ointment seemed to work the best but as with the year before “Celeste’s” body seemed to build a tolerance to the medication. At a second appointment the doctor continued the Allegra and the ointment and told “Celeste’s” mother that if the bumps continued it might be time to take the child to a local allergist. Her mother also tried other suggested medications including Zyrtec and Clariton as well as continued using creams to help reduce the inflammation. Again however when winter began the bumps all disappeared and “Celeste” was a healthy allergen free child.
As this April rolled around the bumps began to appear again. She instantly began using the cortisone creams as well as the Mupirocin and Zyrtec to keep it under control the best she could, then finding Eucerine Anti-Itch lotion to administer to keep “Celeste” from scratching. Finally her mother had had enough and finally made the appointment with an allergist getting the referral from her daughter’s pediatrician. The bumps had appeared on her legs, thighs, arms, back and stomach with only a couple forming on her face and in her hair by mid month and it was time to have them looked at. It was an enigma to the allergist as well knowing that “Celeste” had been treated for exima, impetigo and a skin infection the summer before. They were unsure of what path to take to help the child move past the possible infection/allergy. Administering an allergy test was welcomed option and was administered testing for molds, pollen, grass, fungus and tree allergies all of which shockingly came up negative. So what was her mother to do? It seemed all the options were slowly dwindling. The allergist wouldn’t do a biopsy on a child so that was not even an option and now two doctors were unsure what was causing the issues with her daughter’s skin. Instead the allergist referred a pediatric dermatologist to continue on the case. She then prescribed the little girl Permetrium Cream which is commonly used for the treatment of scabies even though there were no symptoms of the mites and Hydroxihydroxyz to help keep her from scratching in her sleep. It was best to narrow it down a little more first because the first thing that dermatologist was going to do was put her on the cream to see if it cleared up the skin.
Now here is where they sit after several creams and oral antihistamines there is no cure for her daughter’s ailment. Now “Celeste” and her mother await the appointment with the dermatologist and hope that he has an answer to the question of what is wrong with “Celeste’s” skin. Hopefully an answer will be available before the start of winter and the mysterious disappearance of the bumps from the skin.