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Food Allergies/Red moving spot on childs hard palate

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Question
My three year old daughter has has a red spot on her hard palate for about a month. It has increased in size moving across the roof of her mouth. It doesn't seem to bother her at all. She has had asthma since an infant and she has had a runny nose for the past three months. I have taken her back and forth to her doctor and her dentist and they don't seem to have a clue what this spot is. She does take albuterol and pulmicort for the asthma. We have also tried Flonase and prednisone which seemed like it helped a little. My doctor just dismisses it that its nothing serious but it bothers me. I woul like to know what's causing this. Could it be a food allergy? A seasonal allergy? An infection? I am at my wits end because nobody really knows what's going on.

Three weeks ago

http://i1209.photobucket.com/albums/cc393/kkingery83/DCDDEEC9-03EB-4EBC-8F42-629

Last week

http://i1209.photobucket.com/albums/cc393/kkingery83/F4B5254F-EDB7-4A6C-A8F2-DA9

Today


http://i1209.photobucket.com/albums/cc393/kkingery83/DD0BF817-7D02-43C6-8FD5-1B2

Answer
Dear Kim,

The commonest cause of mouth lesions in asthmatics using inhaled steroids is mouth infection by the common yeast Candida albicans. It usually has white areas, which is actually the yeast. It is very easily treated by holding Nystatin suspension in the mouth for as long as possible; Alternatively, amphotericin lozenges. The condition usually arises because very high doses of the steroid impacts on the mouth and larynx and this can cause suppression of the local immune response. Further recurrences are commonly reduced by using a cheap "spacer device" when using inhalers.

If this is not effective I would advise getting the opinion of a dental practitioner with an interest in oral medicine. They are much better at recognising lesions in the mouth than most ordinary doctors (including me).

This is almost certainly not a direct effect of allergy.

Food Allergies

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David Pearson

Expertise

Any in the field I believe. Only experience of questions that get asked will tell.

Experience

I am a retired medical academic from the UK. I have done major research on Food Allergy and have been a government adviser in the area. 30 years experience running an allergy clinic. And undergraduate and post-graduate teaching.

Organizations
Well, apart from the FRCP, I'm no longer active in the area. I'm too busy writing books. And I no longer have the cash to go to international meetings. But was active in many.

Publications
Will 120 scientific papers help? Chapters in books. Patient advisory materials. Magazine articles. TV appearances. Live and recorded. National and international invited lectures, etc. It was my job for 40 years. Do you think I count!

Education/Credentials
MD, PhD, Postgraduate Diplomas etc. Fellow of the Royal College of Physicians. etc. But I don't want that put out on the net! Just to let you know!

Awards and Honors
irrelevant.

Past/Present Clients
Too many to count, patients of course and a large number of all sorts of corporate consultancies and considerable work as an expert witness in the Courts. I'm volunteering because your Greek expert has been so helpful, I thought I'd offer something back.

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