How to Ensure that Your Child Gets Made Fun of at School

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The Grotesquely Swollen Apple of My Eye- What to do When Bugs Attack Your Child's Face

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Son #2 woke up this morning looking like a streetfighter! Dramatic swelling of the eye(s) such as this can occur for a variety of reasons: 1. Allergic reaction to ingested food or drug (generally affects both eyes) 2. Direct contact with environmental allergen or food allergen (can affect one or both eyes) 3. Hereditary or acquired angioedema (can affect one or both eyes) 4. Injury (usually affects one eye) 5. Low protein levels (generally affects both eyes) 6. Infection (generally affects one eye) 7. Insect bite (can affect one or both eyes) In this case, my little one endured a mosquito bite at the outer corner of his left eye yesterday afternoon.  It was mildly swollen at the time, and became progressively worse as the night wore on. Does this mean he has a mosquito allergy? Actually, no more than anyone else.  Certain areas of skin, such as around the eyes and on the lips, are more loosely attached to underlying tissues and muscles than skin elsewhere on the b...
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Keratosis Pilaris - Or, Why My Kid Looks Like a Plucked Chicken

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The skin is the body's largest organ. The condition of the skin is, in many ways, a window into our internal health. Therefore, it is only natural that people become immediately concerned by rashes. We often neglect our own elevated blood pressure, achey joints, or other ailments. The onset of a new rash, on the other hand, can quickly lead to a call to the doctor. Interestingly, there is one rash I see in my practice which rarely causes alarm among patients and parents. In fact, it is common for a parent to state, "Oh, that? His sister has that too. In fact, so do I!" Keratosis Pilaris is a common, heritable disorder which results in small bumps consisting of accumulated skin cells and keratin at the sites of hair follicles. It is especially common in people who have a history of allergies. Although it can be mildly itchy, the rash generally does not cause discomfort. Commonly described as "gooseflesh", keratosis pilaris can be a concern cosmetically, lea...
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Generic Alternative to EpiPen and TwinJect? Not Exactly...

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On Sept. 16, 2009, Adamis Pharmaceuticals Corporation announced that Walgreens will begin to offer its epinephrine pre-filled syringes (Epi PFS) as a generic alternative to epinephrine autoinjectors. Certainly, it is wonderful to have a lower-cost alternative to EpiPen and TwinJect. (Tier 1 co-pay on Aetna and Cigna!) Many parents cough up $70 or more out of pocket for epinephrine autoinjectors that end up being thrown away. Now, don't get me wrong- I think it's much better to spend the money and throw it away than not spend it and be without life-saving medication if you should need it. But when you need one for home, one for school, one for grandma's house, etc... it adds up. On top of that, I like to prescribe epinephrine for my immunotherapy patients, and they aren't thrilled about the co-pay either, especially when the prescription is only a precaution. However, just because the medication inside the syringe is the same doesn't mean that device is equivalen...
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