Unilateral laterothoracic exanthem and Oral Prednisone

Unilateral what?  Yes – I had the same thought.  You might be able to guess from this title that we’ve been having all sorts of interesting things going on at our house.  It has been rough month with very little sleep, which is one of the many reasons for my lack of blog entries this last month.

About four weeks ago Colin developed a rash on his arm that in a few days became a scarier rash on his arm, armpit, continued on the top of his leg and the bottom of his feet were covered in red dots.   He had a slightly different looking rash develop across his torso.  His arm seemed to itch a little but his feet drove him crazy.  Absolutely miserable.  He would itch all day and night.  For a week he was waking every 40 minutes or so all night long, itching and crying.  We were at the doctor’s office three times but they weren’t sure what it was.  They said his arm looked like eczema, the trunk of his body looked like strep rash and his feet looked like poison ivy.  He’d never had his shoes off outside and no one else in the family had poison ivy so we were stumped.  The strep test came back negative.  We went home with some creams but no amount of hydrocortisone and moisturizing cream helped.  He itched and cried day and night and kept showing us his “boo boos.”  He screamed when he put the cream they prescribed on his feet and his feet began blistering.  They had us put away his new shoes in case they were the culprit but it got worse despite the shoe exile.  After 10 days of this I was losing it.

Colin wasn’t sleeping day or night and I was exhausted.  The rash was getting worse and so doctor finally put him on oral prednisone to help with the symptoms.  If you’ve ever had a child who is on oral prednisone you can probably guess what I’m going to talk about next: THE TASTE.  Oh my goodness.  How could they expect kids to take this?  Yes, it is flavored, heavily.  (I tasted it after Colin started refusing it).  The initial taste is grape and pretty good, but then about ten seconds after it has been swallowed an aftertaste emerges that is terrible, bitter and gag inducing.  Colin was trying to remain calm after swallowing the medicine but kept gagging until he lost it- and up came the whole dose.   The next few days we tried mixing it in peanut butter, giving him drinks of juice immediately after the dose and I finally resorted to giving him Annie’s fruit snacks, popping a little piece in right after the dose.  Thankfully, that worked. The trick was to beat the aftertaste with something very flavorful.  He’s now addicted to fruit snacks but at least we found a way to keep the medicine in him.

Did the prednisone help?  Well, things slowly started to get better and he stopped crying all night long about his feet, but it wasn’t a magic bullet for whatever is going on.  Colin is more comfortable now but the rash continues to move around, always concentrating on one side of his body.  The doctor thinks it is unilateral laterothoracic exanthem.  A fancy sounding name for a rash on one side of the body, caused by a virus.  So it may take some time for this to go away.  I can’t find a lot about it (I should know by now Colin will never be textbook anything) but from the articles I have read it seems to affect kids between the ages of 1 and 5 and often in the winter or spring.  Treatment is for the symptoms and it is often misdiagnosed as contact dermatitis.  I haven’t found anything about blistering feet though in anything I’ve come across.  Colin’s feet are now peeling but much less painful.  Jury is still out on that one.

I was really worried the rash was caused by milk exposure but I’m leaning toward the virus rash explanation as time goes on.  Yes, we had a milk-via-mom experiment right before all of this began.  I had some delicious delicious milk products and went a little nuts  but that will be my next post.  Still trying to catch up on some sleep.

I know this was kind of a strange post for my blog. I don’t usually go this in-depth about non-food related things but I really wanted to put this information out there.  Both the rash and figuring out how to get Colin to take the awful tasting prednisone really stumped us,  I  wanted to share this in case some other frustrated exhausted parent is Googling on their phone at 4am while holding their itchy child and looking for help.  I’ve been where you are!


Peanut Butter Chocolate Chip Cookies – Dairy/Soy/Wheat Free


It is hard for me to resist these little beauties.  Really hard.  They are so so good I have to put them out of sight or else I find an excuse to grab another one.  It seems I can have a little bit of dairy free chocolate in my diet, just a little, so I have to practice some major self-control when I go into the kitchen.  When I eat these cookies I don’t find myself thinking about what they are missing (butter) like I do with a lot of non-dairy sweets.  I do find myself delighted that something so delicious is so healthy, for a dessert item.  Although they are not a health food, these cookies aren’t full of fat, processed sugar or white flour.

And I’m not the only one who likes them.  These cookies even passed the “Non-Dieter” test.  I pulled out my Tupperware container full of these cookies at our Mothers Day BBQ.  The cookies were a hit and I got several requests for the recipe.  That says a lot people!  It is hard to pull off a good butter-free-chocolate-chip-cookie-like food but this one does it.

I found the basic recipe for this cookie when looking through a collection of Paleo diet recipes.  If you haven’t heard of the Paleo diet, it is also known as the caveman diet.  I’ve just recently learned of it and from what I understand, people on this diet try to eat as a caveman would, eating fruits, vegetables, meats and avoiding processed sugar, all grains, dairy and soy.  Almond flour is used in place of regular white flour in baked goods.  I’m not trying to follow a Paleo diet, just happen to almost be on it anyway with the food limitations we have, but finding a large collection of new dairy/soy free recipes has been great.

While perusing some Paleo recipes, I found a recipe for almond butter cookies in an article on “How to Have a Paleo Cheat Day.”  (There are a few other good looking recipes I haven’t tried yet.)  I didn’t have almond butter but I had some natural peanut butter and so I made them as Peanut Butter Chocolate Chip Cookies.   So if you can’t use peanut butter,  try using  almond butter.

PS- Usually I’m a batter person.  I taste batters to check the flavors and I like the batters for cookies/cake more than the end result.  This was the total opposite.  I really didn’t like the batter at all.  While the first batch cooked I was betting I would have to throw the whole experiment away.  So glad I didn’t!!

Peanut Butter Chocolate Chip Cookies


2 cups Almond Flour

1/2 cup peanut butter – I used a natural peanut butter that was a bit chunky or use almond butter if you don’t do peanuts

2 eggs

1/4 cup honey

1 teaspoon baking soda

1 teaspoon vanilla

1/2 tsp salt – If your peanut butter has no salt in it I would bump this up to 3/4 tsp.

2 cups Enjoy Life brand chocolate chips or other dairy/soy free chocolate chips


Mix all the ingredients together in a bowl.  Scoop out tablespoons of dough and roll into balls.  Place on a cookie sheet and bake 8-12 min at 375 degrees F.