my baby is 19 months old he having pigment on palms of hand and feed he is getting angry and crying

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If your 19-month-old is developing pigmentation on the palms of his hands and feet, along with irritability or increased crying, it could be due to various reasons. Here are a few possibilities:

1. Nutritional Deficiencies: Sometimes, vitamin or mineral deficiencies, like a lack of vitamin B12, iron, or vitamin A, can cause skin discoloration and irritability in children. A balanced diet with adequate vitamins and minerals is essential, so consider checking with a doctor about his nutritional intake.

2. Hyperpigmentation Due to Carotenemia: Eating excessive amounts of carotene-rich foods, like carrots, sweet potatoes, and squash, can sometimes lead to orange or yellow pigmentation on the palms and soles. This condition is generally harmless, but adjusting his diet could reduce the pigmentation.

3. Allergic Reaction or Skin Condition: Pigmentation and skin changes could sometimes indicate an allergic reaction or a skin condition. Itching or discomfort might make him irritable, so observe for other symptoms like rash, peeling, or dryness.

4. Underlying Medical Conditions: Rarely, pigmentation and behavioral changes might be related to a medical condition affecting the liver, thyroid, or other organs.

Since he is showing both pigmentation and behavioral changes, it would be best to consult a pediatrician. The doctor can assess his diet, nutrition levels, and health condition to determine the exact cause and provide guidance on treatment if necessary.