A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th t…

Question

A 7-year-old boy has had atopic dermatitis since infancy. Over two years his height has fallen from the 50th to the 10th centile, with weight falling in parallel. He scratches most of the night and has missed a lot of school. His mother applies hydrocortisone 1% cream for two days at a time, only when the rash is severe, because she was told steroids stunt growth. He eats an unrestricted diet and opens his bowels normally. Examination shows widespread excoriated, lichenified dermatitis. Which on…

Accepted Answer

Uncontrolled atopic dermatitis

Answer

Coeliac disease

Answer

Cows milk exclusion diet

Answer

Systemic absorption of topical corticosteroid

Answer

Undiagnosed hypothyroidism

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