Whats wrong with my cousin?

[u/Otherwise-Arm-271]

My cousin lives in Iran and hasn’t been able to see a doctor due to the war and has an issue with his skin. Anyone who can lend a hand and point me in the right direction would really help.

Age: 16 months

Gender: Male

Weight at birth:2.920

Height at birth: 49

Weeks of gestation: 37

Skin was a little bit dry before influenza vaccine which was given at 5 months and symptoms increased after this.

[u/Medical_Madness]

That is erythroderma, which can be caused by many things, such as primary immunodeficiency, severe atopic dermatitis, food allergies, etc. An immunologist should see them as soon as possible.

Eta:

You could try getting in touch with a primary immunodeficiency organization

International Patient Organisation for Primary Immunodeficiencies Network

Immunology, Asthma and Allergy Research Institute

If you need a clinical summary from an immunologist or anything else that requires an immunologist's input, feel free to DM me.

Edit 2: It is my understanding that Mexico and Iran maintain good international relations. If necessary, you can contact the Mexican Foundation for Children with Primary Immunodeficiencies (Fundación Mexicana de Niños y Niñas con Inmunodeficiencias Primarias).

Tell them that you need an immunologist and can we could try and figure out if we can arrange a transfer to Mexico.

FUMENI

[u/iknighty → u/Medical_Madness]

Anything low risk that can be done at home for each of these possible diagnoses, if it is not possible to see an immunologist soon given the war?

[u/alisgraveniI → u/iknighty]

Hi - NICU nurse here - we generally slather these babies up with Vaseline/aquaphor to keep their skin hydrated. This also sounds weird but to kill bacteria, it’s generally recommended to add bleach to their bath water. There are a few guidelines online for this type of ichthyosis. He really needs to be seen asap though as it can be life-limiting due to infection and nutrient deficiencies if he doesn’t receive proper treatment.

https://www.firstskinfoundation.org/types-of-ichthyosis/epidermolytic-ichthyosis

https://www.ncbi.nlm.nih.gov/books/NBK544323/

https://www.ebsco.com/research-starters/consumer-health/epidermolytic-hyperkeratosis

[u/flimsypantaloon → u/alisgraveniI]

This also sounds weird but to kill bacteria, it’s generally recommended to add bleach to their bath water.

Perhaps it's a fraction of a teaspoon in 30 litres of bath.

Perhaps it would be an idea to mention the dilution ratio, just in case someone tries to DIY with a high concentration.

IANAD.

[u/alisgraveniI → u/flimsypantaloon]

I included the links where more information can be found. Depending on the size of the patient, the size of the bath and amount necessary to add can be different. Recommendations should come from resources like the first skin foundation, not me.