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Guardian of a 1 yr 3 m old boy12 months ago
Q.

4 month old baby with whitish macules over lips. Since: Few days; Details: Feeding, activity normal. Taking vitamin supplement(D3,MV, Iron Calcium) please give the proper advice.

1 Answer
POOJA KOTHARIMom of a 8 yr 5 m old boy12 months ago
A. Vitiligo in infants, which presents as white patches or macules on the skin, including the lip area, can be concerning for parents. Here’s a general approach to managing this condition, especially since your baby is already receiving a range of supplements: 1. Medical Evaluation: Consult a Dermatologist: It's crucial to have a dermatologist evaluate the vitiligo. They can confirm the diagnosis and determine the appropriate treatment or management plan. Monitoring: The dermatologist will assess if the vitiligo is spreading or if there are any other underlying conditions that need addressing. 2. Continue Vitamin and Mineral Supplements: Vitamin D3: This is important for bone health and general well-being. Ensure you are following the dosage recommended by your pediatrician. Multivitamins (MV), Iron, Calcium: These are also crucial for overall growth and development. Continue with these supplements unless advised otherwise by your doctor. 3. Skin Care: Sun Protection: Protect your baby’s skin from excessive sun exposure. Use a baby-safe sunscreen and keep the baby’s skin covered as needed. Gentle Products: Use mild, hypoallergenic skincare products to avoid irritation. 4. Observation and Documentation: Track Changes: Keep a record of any changes in the vitiligo patches, including size, number, or color. Note if there are any new symptoms or changes in your baby’s feeding and health. 5. Dietary Considerations: Balanced Diet: Ensure your baby is getting a well-balanced diet appropriate for their age. This includes adequate nutrition to support overall health and immune function. 6. Follow-Up: Regular Check-Ups: Continue regular visits with your pediatrician and any specialists to monitor your baby’s condition and adjust treatment as necessary. If the vitiligo is persistent or changing, further investigation may be needed to rule out other conditions or to adapt the treatment plan. Always consult with healthcare professionals before making changes to your baby's care routine.
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