Nikita with her son's Kai and Keo

Kai Clay, a brave and smiling seven-year-old from Derbyshire, has captured the hearts of many as he battles with an agonizing skin condition. Despite the constant pain caused by Pityriasis Rubra Pilaris (PRP), a rare and incurable condition that causes inflammation and scaling of the skin, Kai never fails to wear a smile. His mother, Nikita, describes him as a “little warrior” who faces each day with courage and resilience.

PRP affects only one in 400,000 individuals, making Kai’s condition even more unique. It not only causes his skin to crack and shed, resembling a snake, but also puts him at risk of life-threatening blood infections. Nikita, who is both heartbroken and immensely proud of her son, emphasizes the daily challenges Kai endures with unwavering strength.

Despite the constant discomfort, Kai rarely complains and maintains a positive attitude, even during hospital stays for infections. Nikita, a stay-at-home mom, likened her son’s condition to a snake shedding its skin and calls for increased awareness and research to find a cure for this debilitating condition.

Kai, holding a lolly, his skin red and dry

Kai’s body is covered in flaky, red, and itchy skin. His scalp, hands, and feet are affected the most, with thick scaly patches that crack and bleed, making everyday activities difficult. His eyelids also become red, dry, and sore, further complicating his daily life. Nikita is deeply saddened that she cannot ease her son’s pain, but she admires his resilience and unwavering spirit.

Kai first showed symptoms of PRP when he was just six months old, with rashes appearing on his neck, arms, and legs. Initially misdiagnosed as eczema or psoriasis, his skin condition worsened over time. At four years old, he developed infected pustules that led to a life-threatening blood infection, which ultimately led to a definitive diagnosis of PRP through a skin biopsy.

Kai in hospital, laughing at Shrek

Nikita recalls the confusion and despair she felt upon learning about her son’s incurable condition. She also highlights the lack of knowledge and understanding surrounding PRP, which required consultations with doctors from around the world. The realization that Kai would have to live with this condition for the rest of his life was devastating for Nikita.

Currently, Kai manages his condition with eye drops, steroid creams, moisturizers, and ointments. He also takes daily tablets and receives pain relief injections every two weeks. However, even with these treatments, he often misses weeks of school during painful flare-ups. Nikita admires her son’s determination to attend school and learn, as education is something he truly loves.

Kai’s condition not only affects his daily life but also impacts his relationship with his younger brother, Keo. When Kai is unwell, Keo feels upset that they can’t play together. However, as Keo grows older, he is becoming more understanding and supports his brother with cuddles and watching their favorite TV show, Spongebob.

Kai's back looking red and painful

Nikita is determined to raise awareness about PRP and advocate for more research into finding a cure. The rarity of the condition has resulted in a lack of funding and limited progress in understanding and treating PRP. She shares the stories of others in online support groups who are also struggling with this condition, emphasizing the urgent need for action.

Kai’s story is a powerful reminder of the strength and resilience that can dwell within a young child. His unwavering smile and positive attitude inspire those around him, and his mother’s dedication to raising awareness for PRP gives hope to others who face similar challenges.

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