Wtf is this?

[floodbez1878]

We have been back and forth to the doctors over the past two years with our daughters skin and I'm so fed up.
Seen four different doctors who have told us it's eczema, urticaria, diary intolerance and now back to eczema after an awful break out last week.
We have asked for a dermatology referral and been told there are no paeds dermatologist in our area (we even said we would pay). Apparently normal dermatologist won't see a child. So we are just waiting.
She's been off dairy for 5 weeks now and no improvement. We have used the same fairy non bio washing powder etc from birth and only e45 to clean her in the bath. Lashing of various eczema creams 2x daily or more prescribed by the doctors. Anyone has anything like this? Not in normal folds like eczema but legs and tops of shoulders, along with awful cradle cap. She's nearly four.
It doesn't bother her at all but people (mostly her nursery) are making us feel like awful parents

Could it be fungal?

Have you tried antihistamine?

Is she old enough to have hydrocortisone 1% cream?

The cradle cap could be a fungal infection. Usually tgel and nizarol? are the otc remedies but not sure if a toddler can have that so maybe check with a pharmacist (the above are coal tar products).

I found gp eczema products to be useless so I started using Childs Farm moisturiser (its aimed at children so its safe) and I found that soothed it more. Didn't make it go away but it certainly soothed it. Asda, wilkos, superdrug sell it.

My son's allergies ramped up at about 18 months. I switched to bar soap and Ariel and the difference was amazing. All liquid soaps have preservatives in that he and I are allergic too. Once we switched to bar soap the difference was huge.

Boots also sell it, its everywhere. I used it for my Lupus rash and it certainly helped more than the Dermatologists prescribed potions.

https://www.childsfarm.com/products/childs-farm-baby-moisturiser-mildly-fragranced

We have tried child’s farm, and oat colloidal but no difference. Also antihistamines and no difference.
I don’t think the doctors have a clue

I’m thinking there’s another allergy at play here too . Does she have any other symptoms ?

I would probably look at other allergies , Soya , Egg , Wheat/Gluten

You can suddenly become allergic to something, that's basically how allergies work. You gradually build up a sensitivity and then boom, massive reaction.

I'd try cahmging your soap peodwer etc. Gradually rule things out

Yes me too, I can't see why they can't just test for allergies. I think they expect us to drop one food type at a time for 6 weeks, we could be doing that for years.

Looks like my dc's skin before he was diagnosed with multiple food and environmental allergies.

Best thing that happened to my dc was being tested and found out what he was allergic to. And avoiding it. From my experience, dermatologist isn't a big help anyway, unless you know what it the cause in the first place.

One thing you can do, is to do the food diary. Write down everything she eats in details. And also avoid major allergens and see how she react.

After my dc was diagnosed, and avoided the allergens, the transformation of the skin was magical. Bleeding weeping skin from a week old, to normal skin in very short time.

There are definitely paeds dermatologists. She needs an urgent referral done. I've read posts on here of mums with no help going to a and e and that's how they got the referral to get the help they needed. I know it's not ideal but if no one is listening it may be the way to get it.
I would cut dairy, soya, oats and egg. Those are the biggest allergens for eczema. You do need to ask for referral for allergy testing. Don't take no for an answer. She shouldn't be suffering like this. I'm so angry for you the gp is fobbing you off like this.
Is there another GP you can speak to?

@floodbez1878
Are you able to pay privately to see a dermatologist?

@abbs1
We have seen four different gps at our local surgery..the last one had a page open on eczema when we went in. So she was just pre empting it. Utterly ridiculous and we feel so awful she looks like this and we don't know what do do.
Dairy and oats we have done. Will try eggs now. She didn't have soya before we did dairy free so it's not that

https://www.news-medical.net/health/Nummular-Dermatitis-Symptoms-and-Diagnosis.aspx

Is it this?

Ive found GPs are useless with allergies my 10 month old has allergies and they just didn’t get it ! Thank god my HV referred him to the hospital he’s allergies to milk , egg and wheat/gluten .

I would also keep a food diary and make a note of anything such as smelly gas , mucus in stools etc

@Whichnumbers
It looks similar but doesn't itch or bother her or have any fluid etc

My dc was referred to an allergy specialist by HV, not by GP. GP just kept prescribing steroid creams.

@ScoobyBooby
They bloody are! I've just put in another referral to go tonight and asked for allergy test. DH is a teacher so he's off tomorrow to pester them for it

@grapehyacinthisactuallyblue
She is 3 and a half so would they do this for us do you think? Our old HV is on maternity and we've had no contact for years with HV

I've been watching a skin clinic programme. That looks bad. If you can afford it see a private dermatologist,

She could be coeliac. It can affect the skin in the form of Dermatitis herpetiformis.
Diagnosed through blood test and endoscopy (though I’m not sure if they do endoscopy on a child so young, may just be blood test to check inflammation markers).
If it is that than strict gluten free diet.

@Darkroot
I've just googled pics of that and doesn't look anything like it but thank you. It's not itchy and doesn't bother her is the weird thing.

Keep on at them for sure !
I would speak to another HV if your usual one is off . If you’re wanting the test for coeliacs you will need to keep wheat/gluten in her diet until the test is done . It’s usually just a blood test for children (so I’ve been told ) we are waiting for one for my youngest x

Consider the major allergens - milk, peanut, gluten etc and see if you can cut them all out. You can then gradually re-introduce them one at a time. It's a bit quicker than cutting out one for 6weeks, then cutting out another...

When my skin looked like that, one of the many tests my dermatologist ran was a skin biopsy for celiac disease.

don't underestimate the potential for it to be existing products. Long-term products can easily become allergens. Doctors only ask if there is something new because it’s a quick thing to check. I turned out to be allergic to the hypoallergenic laundry products. I had to get one that was really, specifically free of my allergens. For now I would be sure that what you are using is completely fragrance free, double rinse, skip fabric softener. And use the tumble dryer for the child’s clothing instead of drying outside so that the clothes don’t pick up any pollen.

If you can afford £550, go privately for the ALEX test (wherever you go there will likely be a consultation fee in addition). It tests for lots and lots (several pages!) of allergens at a molecular level.