Bull’s Eye Challenge 2

A 1-year-old male child presented with ichthyotic skin and lipid inclusions in the neutrophil in peripheral smear examination (as shown in above image). What is most likely diagnosis? Answer of Bull’s Eye Challenge 1 Question: A 5-year-old tribal male child with breathing difficulty and above lesions on abdomen. Answer: Branding (tattooing) on abdomen Branding refers to a process whereby third degree burns are inflicted on the skin with a hot iron rod or metallic object.[1] Branding employs the phenomenon of “counter irritation” and is widely used by faith healers in developing countries for therapeutic purposes in the treatment of pneumonia, common cold, ascites, etc.[2] The most common and traditional form of branding is “strike branding” which is performed with sheet metal strips heated by a propane torch (1900 to 2100°F). The “strike” is performed by applying the heated strip to the skin. The conglomerate of heated strips forms the desired pattern on the skin post striking.[1] Other different traditional method for healing used are cupping, scarification, trepanation, and others. It is still prevalent in many parts of the world due to different reasons like poverty, low education, traditional beliefs, and lack of medical facilities. It is associated with many complications and should be avoided.[1–3]Please reply correct answer to [email protected].Winner of Bulls Eye Challenge 1 is Dr Vinod Gandhi Nagpur.