Case 2 : Comments 1
There are some interesting facets to this history already. Episodes of suspected sinusitis in a 6 ½ year old child are unusual. Generally sinusitis is much more common in adult age groups rather than in children. The history of allergic tendencies (eczema) may be an explanation for this event in such a young child.
There is a lot of discussion in the medical world about whether patients who have eczema have an underlying immune disorder. There are proposals that suggest that this specific immune defect may be related to reduced levels of unsaturated lipids (fats) in the diet. It has been suggested that increasing dietary unsaturated fats can reduce the allergic tendency by fixing up the underlying problem in immunity. Certainly, Dr. Pluta states that he has seen some patients respond to this type of dietary nutritional treatment. Dr. Pluta suggests that the clinical effects of altered body levels of unsaturated fats can takes months to appear. It takes months to build up the body stores of these cell membrane constituents and the likely effects are more likely to be obvious when the environmental or seasonal temperatures are greatest.
This patient has a severe allergy to wheat protein and may inn fact have actual Celiac disease. Generally, endoscopy is not necessary to determine whether the child would benefit from a trial of diet. A simple trial of diet and observance of symptoms will unusually reveal the clinical effects of wheat protein allergy (gluten allergy) in most patients. Children are not the best observers of their own symptoms. Observation of the response to diet is best made by adults, (who are more self aware and observant than the children involved).
Note:
These are all important observation in the context of Paill Spectrum illness.
The cholesterol is low but these types of results are typical in children. Paill Spectrum takes decades to trigger its insulin resistance problems with consequent changes in then lipid profile.