Different skin rashes on babies

Skin rashes in babies | nidirect

It's normal for babies to develop rashes from as early as a few days old. If your baby has a rash but doesn’t show signs of illness, speak to your midwife, health visitor, or your GP. If your baby appears unwell, call your GP or GP out of hours service.

About skin rashes in babies

It's important to be aware of the symptoms of meningitis, see section below.

Also below is information on some of the most common rashes in babies. Most rashes are harmless and go away on their own.

This guide may give you a better idea of the cause of the rash. But don't use it to diagnose your baby's condition. Always speak to a health professional for a proper diagnosis.

read about causes of rashes in older children

Baby acne (neonatal acne)

Baby acne is where pimples sometimes develop on a baby's cheeks, nose and forehead within a month of their birth.

About baby acne

pimples tend to get worse before clearing up completely after a few weeks or months
washing your baby's face with water and a mild moisturiser can improve the appearance of their skin
avoid acne medicines intended for older children and adults

Pimples or blackheads that develop after three months of age (infantile acne) tend to be more severe. These often need medical treatment.

Cradle cap

Cradle cap is where yellowish, greasy, scaly patches develop on a baby's scalp.

About cradle cap

occasionally, as well as the scalp, the face, ears and neck are also affected
it isn't itchy and shouldn't bother your baby- if your baby is scratching or upset, they may have eczema (see below)
it is a common condition that tends to develop within two or three months after birth
it usually gets better without treatment in a few weeks or months

Gently washing your baby's hair and scalp with baby shampoo may help to prevent further patches developing.

Eczema

Eczema is a long-term condition that causes the skin to become itchy, red, dry and cracked.

The most common form is atopic eczema. It mainly affects babies and children but can continue into adulthood.

About atopic eczema

eczema in babies under six months is sometimes associated with allergies to milk and egg
it often starts in young babies as a red, itchy rash on the face, scalp and body
as the child gets older, it usually starts to develop in areas with folds of skin, such as behind the knees or on the front of the elbows

Creams and ointments can often relieve the symptoms.

Erythema toxicum

Half of all newborns develop a blotchy red skin reaction called erythema toxicum. This is usually at two or three days old.

It's a normal newborn rash that won't bother your baby and clears after a few days.

Hand, foot and mouth disease

Hand, foot and mouth disease is a common, viral illness.

About hand, foot and mouth disease

it causes a blistery rash on the palms of the hands and soles of the feet, as well as ulcers in the mouth
your baby may also feel unwell and have a fever

Treatment isn't usually needed, as the baby's immune system clears the virus. The symptoms go away after about seven to 10 days. If you're worried, see your GP.

Hives (urticaria)

Hives is also known as urticaria.

About hives

causes a raised, red itchy rash that appears on the skin
happens when a trigger (such as a food that your baby is allergic to) causes a substance called histamine to be released into their skin

If your baby gets urticaria during feeding, the condition may be triggered by something they've had to eat or drink. The most common foods are egg and milk, but many other foods can sometimes be the cause.

The urticaria rash is usually short-lived and can be controlled with antihistamines. If your baby gets hives repeatedly, it's important to see your GP to discuss possible allergies.

Impetigo

Impetigo is a highly contagious bacterial infection of the surface layers of the skin. It causes sores and blisters.

It's not usually serious, but you can visit your GP for a prescription of antibiotics. This should clear the infection within seven to 10 days.

Milia

About half of all newborns develop tiny (1-2mm) white spots on their face. These are called milia.

These are just blocked pores. They usually clear within the first four weeks of life.

Nappy rash

Nappy rash occurs when the skin around the baby's nappy area becomes irritated.

About nappy rash

is often caused by exposure to wee or poo for a long period of time
can sometimes be the result of a fungal infection or rare skin condition

You can usually reduce nappy rash by taking simple steps to keep your baby's skin clean and dry. You can use a barrier cream if needed. Antifungal cream may be necessary if the rash is caused by a fungal infection.

read more about nappies and nappy rash

Ringworm

Ringworm is a common fungal skin infection. It causes a ring-like red rash almost anywhere on the body (the baby's scalp, feet and groin are common areas).

It's usually easily treated using over-the-counter creams.

Ask your pharmacist if you need advice about treatment.

Scabies

Scabies is a common infestation of the skin that can affect people of all ages.

About scabies

it's caused by tiny mites that burrow into the skin
it's often spread between family members, so when babies get scabies it's usually because someone else in the family had it recently
babies with scabies develop tiny and very itchy spots all over the body, including on the soles of the feet, armpits and genital area

Treatment with creams that kill the scabies mite needs to be given to the whole family at the same time for it to be effective.

Visit your GP if you think your baby has scabies. It's not usually a serious condition, but it does need to be treated.

Your GP will discuss treatment with you. The treatments most widely used are a cream and lotion.

Slapped cheek syndrome

Slapped cheek syndrome is a viral infection particularly common in children and babies.

About slapped cheek syndrome

it typically causes a bright red rash on both cheeks and a fever
most babies won't need treatment, as slapped cheek syndrome is usually a mild condition that passes in a few days

Sweat rash (miliaria)

A heat rash is sometimes called miliaria or prickly heat. It may flare up when your baby sweats. For example, because they're dressed in too many clothes or the environment is hot and humid.

It's a sign your baby's sweat glands have become blocked.

They may develop tiny red bumps or blisters on their skin, but these will soon clear without treatment.

Meningitis

Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges).

About meningitis

the classic rash associated with meningitis usually looks like small, red pinpricks at first
it then quickly spreads over the body and turns into red or purple blotches
it is a blotchy rash that doesn't fade when a glass is rolled over it (this won't always develop)

Meningitis warning signs

It's important to be aware of the warning signs of meningitis in your baby, which include:

becoming floppy and unresponsive, or stiff with jerky movements
becoming irritable and not wanting to be held
unusual crying
vomiting and refusing feeds
pale and blotchy skin
loss of appetite
staring expression
very sleepy with a reluctance to wake up
fever

Some babies develop a swelling in the soft part of their head (fontanelle).

Trust your instincts. If you think your baby has meningitis, see your GP or GP out of hours service immediately or go to your nearest emergency department.

find out more about skin rashes in babies on the NHS website

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Baby Rash: Causes, Types, Treatments, Prevention

There are many types of rashes that affect various parts of a baby’s body.

These rashes are typically very treatable. While they may be uncomfortable, they aren’t cause for alarm. Rashes are rarely an emergency.

Sometimes, infant rashes can indicate a more serious illness. We’ll discuss different types of baby rashes, how to treat them, and when to call a doctor.

Babies have very new skin and developing immune systems. Their skin is sensitive and susceptible to many sources of irritation or infection. Causes of rashes in babies include:

heat
allergies
friction
dampness
chemicals
fragrances
fabrics

Even their own feces can irritate a baby’s skin and cause a rash. Viral and bacterial infections can also cause rashes.

Depending on the cause of the rash, almost any part of your baby’s body can be affected:

face
neck
trunk
arms
legs
hands
feet
diaper area
skin folds

Some of the most common types of infant skin rashes include:

baby acne, which usually appears on the face
cradle cap
diaper rash, which is caused by wetness or the acidity of a baby’s urine and feces
drool rash, which happens when drool irritates the skin around the mouth or on the chest
eczema, most commonly found on the face, behind the knees, and on the arms
fifth disease, which is a “slapped cheek” rash that may be accompanied by fever, fatigue, and sore throat
hand, foot, and mouth disease
heat rash, usually found in areas covered by clothes, such as armpits, neck, chest, arms, torso, and legs and is caused by overheating
hives
impetigo
infectious rashes, such as measles, chickenpox, scarlet fever, and roseola
miliamolluscum contagiosum
thrush

Seek medical advice for a fever
Bring your child to a doctor if they’re experiencing a rash with a fever.

Diaper rash treatment

Diaper rash is one of the most common baby rashes. A diaper holds warmth and moisture close to the skin, and urine and feces may be acidic and very irritating to the skin. The best remedies for diaper rash include:

frequent diaper changes
wiping with a soft, wet cloth instead of pre-packaged wipes that contain alcohol and chemicals
using a barrier cream, typically containing zinc oxide, which shouldn’t be wiped off of the skin with each diaper change or it can cause more irritation
decreasing acidic foods, such as citrus and tomatoes, in your baby’s diet
washing your hands before and after diaper changes so the rash doesn’t become infected

Eczema treatment

Eczema is another very common childhood rash. If you have a family history of eczema or sensitive skin, your baby is likely to be more prone to eczema.

It may be caused by allergies or skin sensitivities to food, laundry detergent, types of fabric, or other irritants. Helpful treatments for eczema include:

keeping the area clean and dry
over-the-counter creams and ointments
oatmeal baths
determining if there’s an allergy and eliminating the allergen
working with a pediatric dermatologist to identify your baby’s triggers and how to best treat their eczema

Drool rash treatment

Drool rash and general facial rash is very common in babies. They’re developing salivary glands and teething, so it’s not uncommon for them to have drool on their face much of the time. Pacifier use, food particles, teeth growing in, and frequent face-wiping may also irritate the skin.

Drool rash typically resolves on its own in a matter of weeks, but there are some ways to help:

pat — don’t scrub — your baby’s face to dry
clean with warm water but avoid using soap on the face
have your baby wear a drool bib so their shirt doesn’t become soaked
be gentle when cleaning food off of the face
avoid fragranced lotions on the face
minimize pacifier use when possible

Some rashes, such as baby acne, go away by themselves in a matter of weeks or months. You shouldn’t use adult acne medication to treat baby acne.

Cradle cap can be treated with topical oil, such as coconut oil, gentle scrubbing with a cradle cap brush, and washing your baby’s head.

Infectious rashes such as thrush, measles, chickenpox, roseola, and scarlet fever should be evaluated by a pediatrician for the best treatment. These rashes are typically accompanied by a fever and other symptoms. They may require antibiotics or antiviral medication, or they may resolve on their own.

Fever

If your baby develops a rash accompanied by a fever or following a fever, it’s best to call your pediatrician. The cause may be infectious and you should have your child evaluated by a doctor.

Learn more about signs of fevers and low temperatures in babies, and what to do.

Rash for a week

If your baby has a rash that persists for more than a week, doesn’t respond to home remedies, or is causing your baby pain or irritation, you should call your doctor.

Rash spreads

If your baby develops widespread hives, especially around the mouth, or develops hives accompanied by coughing, vomiting, wheezing, or other respiratory symptoms you should go to the emergency room. This may be a sign of a very serious allergic reaction called anaphylaxis.

Emergency signs

A rash accompanied by a very high fever, a stiff neck, sensitivity to light, neurological changes, or uncontrollable shaking may be caused by meningitis and is considered a medical emergency.

While rashes in babies are very common, there are some steps you can take to help prevent a rash. Preventive steps that some people try include:

frequent diaper changes
keeping skin clean and dry
using irritant-free laundry detergent or detergent specially formulated for babies
dressing your baby in breathable fabrics, such as cotton
dressing your baby appropriately for the weather to avoid overheating
keeping track of any skin reactions to foods so you can avoid trigger foods
keeping your child up-to-date on vaccinations
not letting strangers or anyone with symptoms of illness kiss your baby
using lotions, shampoos, and soaps specifically designed for a baby’s sensitive skin

It can be alarming when your baby develops a rash, especially if they seem to be sick, itchy, or uncomfortable. It can also be difficult to determine the cause of the rash.

The good news is that rashes tend to be very treatable and aren’t usually serious. Many are even preventable and can be managed at home.

If you’re concerned about your child’s rash, or the rash is accompanied by a fever, call your pediatrician. They can help determine what is causing your baby’s rash and how to treat it.

Rash in a child on the body, legs, back

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Skin rash in children: analyze the causes

Features of children's skin

The skin, like most other organs and systems, gradually develops until puberty. In a child, it is functionally and structurally more sensitive to external influences and allergic reactions. At the same time, the sweat and sebaceous glands do not yet work properly, which is associated with insufficient development of skin innervation.

At the same time, from birth, the skin takes an active part in metabolism and respiration due to the many superficially located vessels. Because of this, skin diseases often greatly affect the general condition of the child.

Types of rash in children

Skin rash caused by a particular disease usually has its own characteristics. The most common types of rashes include:

Papules. These are volumetric formations of a small size (up to 10 mm), which rise above the skin. The main color is red and pink. They occur with lichen planus, roseola infantum, atopic dermatitis, etc.
Vesicles. They are bubbles up to 5 mm in diameter, filled with a cloudy liquid. After opening, erosion is often left behind. May be a sign of chickenpox and other herpes infections.
Petechiae. A purplish skin eruption that does not go away with pressure. Its elements do not exceed 3 mm in diameter, do not rise above the skin and are not felt to the touch. As a rule, they indicate meningococcal infection, vascular damage (vasculitis), platelet deficiency.
Erosion. This is a skin defect that does not penetrate deeper than the epidermis. It has the appearance of a rounded, somewhat in-depth formation of red color with a weeping surface.
Cork. A secondary element formed by the drying of secretions from vesicles, erosions, or blood. Solid, has a dark red, brown color.
Macula or spot. This is an area of discoloration that is on the same level as adjacent areas of the skin. It can be both an independent element in rubella, measles, roseola, and a residual phenomenon after papules, vesicles or erosions.
Wheals or urticaria. A rounded element of a rash of pale pink, red or purple-white color, the size of which varies from 1-2 mm to tens of centimeters. Leaves no secondary elements behind. Meet with allergic reactions, urticaria.
Lichenification. These are areas of excessive thickening of the skin with increased skin pattern. Often a secondary element.

Diseases that cause skin rashes in children

Rashes on the baby's skin may indicate various diseases, most often infections and allergic reactions.

Roseola infantum

Roseola infantum or sudden exanthema is a childhood infectious disease that occurs when infected with human herpesviruses type 6 or 7. Most often observed between the ages of 6 months and 2 years.

Sudden exanthema is accompanied by an increase in body temperature up to 39-40°C, which persists for 3-5 days, after which a bright red maculopapular rash appears on the child's skin. It occurs on the surface of the chest and abdomen, spreading throughout the body (Fig. 1). The elements of the rash, as a rule, are not felt by the fingers, but sometimes they can be raised. They disappear when the skin is stretched or when the glass of a glass is pressed on them.

In roseola infantum there may be white rings around some elements of the rash. Often the rash is limited only to the trunk and, not having time to reach the face and limbs, disappears. The rash does not cause discomfort or itching, but children usually become sharply capricious and "unbearable" during this time; the rash lasts from several hours to several days, and then disappears, leaving no pigmentation or peeling. An excerpt from the book by Sergei Butriy “Child health: a modern approach. how to learn to cope with illness and your own panic.

Roseola infantum should be treated symptomatically, preferably with antipyretics and plenty of fluids. In immunodeficiency states (HIV infection, congenital disorders of the immune system), antiherpetic drugs are additionally prescribed.

No matter how hard baby roseola flows, it is perfectly safe. Complications are extremely rare and are usually limited to febrile convulsions. An excerpt from the book by Sergei Butriy “Child health: a modern approach. how to learn to cope with illness and your own panic.

Figure 1. Rash in roseola infantum. Source: Wikipedia

Enteroviral exanthems: chicken pox and enteroviral pharyngitis

The viral pemphigus, also known as turkish varicella, is caused by enterovirus 71 (EV-71). Enteroviral pharyngitis is caused by Coxsackie A16, B2, B5 viruses. They occur mainly among children under the age of 10 years, infection often occurs during holidays in southern countries.

The primary signs of pathologies are pain in the mouth and throat, because of which the child refuses to eat and does not even swallow saliva, but spits it out. Then the body temperature rises to 39°C. The fever persists for about 4 days and is accompanied by nausea and vomiting, loss of appetite and excessive irritability. With enteroviral pharyngitis, small white sores usually occur only on the palatine arches (Fig. 2), but Turkish chickenpox is a rash throughout the mouth, including the tongue, around the mouth, on the palms and feet. The rash on the skin may resemble chickenpox - red spots or blisters.

Figure 2. Rashes in the mouth with herpangina (enteroviral pharyngitis). Source: James Heilman, MD/Wikipedia

Symptomatic treatment:

Oral hygiene and rinsing with antiseptic solutions.
Non-steroidal anti-inflammatory drugs (NSAIDs) that help control pain while lowering body temperature.
Plentiful warm drinks to prevent dehydration, cold drinks and ice cream can be given (these are more easily tolerated by sick children).
Diet with the exception of mechanically hard, sour and salty foods.
Enteroviral exanthems are self-limiting, the disease usually recedes after 3-7 days. However, the condition of the child during the illness must be monitored in order to consult a doctor in time in case of complications. The most common are dehydration and secondary bacterial infections. In the latter case, abscesses, yellow crusts appear on the skin, the skin swells. Rarely enterovirus infection leads to serous meningitis.

Chickenpox

Chickenpox or chickenpox is an infectious disease caused by the human herpesvirus type 3 (Varicella Zoster). People of any age get sick with it, but mostly it is children 5-9years.

The main symptom is skin rashes that have a certain sequence of development. Small pink spots appear first, quickly transforming into papules, and then into vesicles (Fig. 3) with reddening around. After a couple of days, they open or dry out, forming crusts of dark red, brown color on their surface. A characteristic feature is severe itching.

Figure 3. Development of a skin rash in chickenpox. Source: SlideToDoc

The total period of rashes lasts from 2 to 9days. At the same time, the general condition practically does not suffer, but fever may occur.

There are no drugs that can completely eliminate the virus, so treatment tactics are aimed at eliminating symptoms and normalizing the child's condition:

Bed rest in the presence of fever.
Treatment of elements of the rash with a solution of manganese, methylene blue or brilliant green (brilliant green).
Antihistamines to relieve itching.
Antipyretics.
Taking regular warm showers without using a washcloth or brush.

Complications of chickenpox occur against the background of suppression of the body's immune system. These include: inflammation of the lungs (pneumonia), lesions of the nervous system (neuralgia, meningitis, encephalitis, damage to the facial nerve), eyes (keratitis, conjunctivitis, uveitis), etc.

Important ! For the prevention of chickenpox, especially for adults, against the background of a weakened immune system and a high risk of complications, vaccination is recommended. It can also be carried out as an emergency prophylaxis up to 2 days from the moment of contact with a sick person.

Measles

Measles is a viral infectious disease. Often it occurs in unvaccinated children from 2 to 5 years and older.

Measles debuts with a sharp rise in temperature to 39-40°C, dry cough, runny nose, headache, hoarseness. Characteristic features are swelling and redness of the eyelids, pharynx and red spots in the sky. On the 2-3rd day of development, a symptom specific to measles occurs - Filatov-Belsky-Koplik spots. These are white spots with a red border, observed on the inner surface of the cheeks near the molars. On the 4-5th day from the appearance of the first signs of the disease, these spots disappear, and they are replaced by a skin rash.

The primary localization of measles papular rash is the outer surface of the elbow, knees, fingers. Further, it spreads throughout the body (Fig. 4). The elements of the rash are surrounded by red spots and tend to merge with each other. After 4 days from the moment they appear, the child's condition returns to normal, and the elements of the rash become darker and peel off. Residual effects and pigmentation disappear after 7-10 days.

Figure 4.

Skin rash in measles. Source: CDC

There is no specific treatment for measles; helping a child involves managing individual symptoms:

NSAIDs to reduce body temperature.
Expectorants for relief of coughs.
Antiseptic mouth rinses.
Topical treatment of rash elements with astringents or tea to relieve itching and soreness.

Measles is very dangerous. Possible complications of measles:

Stenosis of the larynx - croup.
Primary measles or secondary bacterial pneumonia.
Inflammation of the respiratory tract - bronchitis, tracheitis, laryngitis, pharyngitis.
Otitis media.
Hepatitis.
Encephalitis and subacute sclerosing panencephalitis.

Scarlet fever

Scarlet fever is a bacterial infection caused by group A beta-hemolytic streptococcus. Most cases occur in children between 3 and 7 years of age.

The first manifestation of scarlet fever is an intoxication syndrome - an increase in body temperature up to 38-39°C, headache, general weakness and loss of appetite. On the 2-4th day from the moment the first signs of the disease appear, one of the characteristic symptoms appears - "crimson tongue" (Fig. 5). It is manifested by pronounced graininess and bright red color of the surface. Angina also occurs - inflammation of the palatine tonsils.

Figure 5. "Crimson tongue" in scarlet fever. Source: ResearchGate

From the first days of scarlet fever development, a characteristic red punctate rash appears, which does not disappear when pressed with glass, but becomes yellowish with effort. It is located on the flexion surfaces: the inner parts of the elbows, under the knees, in the inguinal pits, on the cheeks and sides of the body. It lasts up to 1 week, after which it disappears, leaving no pigmentation behind. A specific sign is the pallor of the nasolabial triangle.

Another characteristic feature of scarlet fever is the peeling of the skin that occurs after the rash has disappeared. At the same time, the skin "moves away" in whole layers in the area of the palms and feet, while in other areas - in small fragments.

Treatment is based on antibiotics from the penicillin group. Vitamin C and B vitamins, symptomatic preparations are used as adjuvants. Plentiful warm drink and bed rest are recommended. In severe cases, glucocorticosteroids and intravenous drip of glucose solutions and plasma substitutes are used.

The most common complications of scarlet fever: otitis media, sinusitis and frontal sinusitis (inflammation of the maxillary and frontal paranasal sinuses, respectively), cervical lymphadenitis (inflammation of the lymph nodes of the cervical region).

Rubella

Rubella is caused by Rubella virus. The majority of patients are children aged 3 to 9 years.

Rubella begins with an intoxication syndrome of moderate severity: fever up to 38-38.5 ° C, headache and fatigue, signs of pharyngitis and conjunctivitis, marked enlargement of the lymph nodes of the cervical and occipital region.

After 1.5-2 days from the onset of the disease, a skin rash appears in the form of spots, which spreads downward over several hours - appearing on the face, gradually moving to the trunk and limbs. Outwardly, the rash initially resembles measles, then scarlet fever. Itching and peeling are absent, and the spots, unlike measles, do not merge with each other. The bulk of the spots are located on the buttocks and lower back, the outer surface of the elbows and knees. After 3-5 days, the rash disappears without a trace.

There is no specific treatment for rubella, and the main actions are aimed at eliminating individual symptoms of the disease. Complications are very rare, as a rule - against the background of disorders of the immune system. In such cases, the development of pneumonia, arthritis, otitis media is possible.

Important ! Rubella is especially dangerous for pregnant women, as it causes problems in the fetus, so when planning a pregnancy, all unvaccinated people should be vaccinated against this infection.

Urticaria

Urticaria or urticaria is a type of dermatitis caused by allergies. The disease is very common among both children and adults. In total, about 20% of the adult population and 2-7% of children suffer from it.

Medications (most often antibiotics), various foodstuffs, vaccines and physical influences: cold, sunlight, mechanical pressure can provoke the development of urticaria.

The leading symptom of the pathology is a skin rash in the form of dense red or pink vesicles or nodules 2-10 mm in diameter with clear edges, which become pale when pressed (Fig. 6). A characteristic feature is the sudden appearance and equally rapid disappearance of the elements of the rash without a trace, as well as severe itching.

Figure 6. Urticaria rash. Source: James Heilman, MD/Wikipedia

Treatment, depending on the form of the disease, is represented by antihistamines, histamine receptor blockers or glucocorticosteroids.

Complications occur in the absence of treatment and include angioedema angioedema, anaphylactic shock, heart and kidney damage in the form of myocarditis or glomerulonephritis, respectively.

Lichen planus

Lichen planus is a chronic dermatitis of unknown origin. Most of the patients are people aged 30 to 60 years. However, about 5% of the total number of patients are children.

A typical form of the disease is accompanied by the appearance of gray-white papules up to 2 mm in diameter on the oral mucosa, namely: the inner surface of the cheeks behind the molars, on the lateral parts of the tongue and on the palate. Sometimes the rashes can merge, forming patterns.

In some patients, a rash also appears on the skin of the flexor surfaces of the limbs of the arms and legs, the inner thighs. It has the appearance of small papules of various shapes and pinkish-purple color with a shiny surface and a depression in the center.

Treatment includes diet with restriction of salt, smoked and fried foods, rough, irritating mucous membranes food. Glucocorticosteroids are prescribed as medical support.

Pityriasis rosea

Pityriasis rosea, or Gibert's versicolor, is a variant of a skin lesion with no known cause. Exacerbations occur against the background of immune suppression - colds, hypothermia, chronic stress, etc. Most cases of this pathology are observed in people aged 20 to 40 years, as well as in adolescents.

The disease begins with the formation of a primary scaly focus of pinkish or yellowish color from 1 to 10 cm in diameter with a clear rim. After 1-2 weeks, secondary plaques and smaller papules appear on the body and limbs - up to 2 cm (Fig. 7). Gradually, the elements of the rash turn pale, and the outer edge becomes rougher. The rash may be accompanied by itching, fever and other manifestations of the intoxication syndrome.

The disease tends to self-heal within 4-5 weeks. Treatment is mainly local in the form of ointments based on glucocorticosteroids, and antihistamines and NSAIDs are prescribed to combat itching and fever.

Figure 7. Skin rash with rosacea. Source: James Heilman, MD/Wikipedia

Atopic Dermatitis

Atopic dermatitis or eczema is a genetically determined inflammatory skin lesion of an autoimmune nature. Most often, children under 14 years of age living in large, industrial cities get sick.

Atopic dermatitis develops with a probability of 80% if both parents have a history of this pathology, and with a 50% probability if only one of them.

The first symptoms occur before the age of 2 years due to exposure to allergens, which can be food, plant pollen, dust and mold, cosmetics.

Typical symptoms are skin rashes that vary depending on the stage of the disease. When exacerbated, red spots, papules and small vesicles appear, accompanied by severe itching. In infants, the typical site is the face, scalp, and neck. At an older age, the flexion surfaces of the limbs and the neck are affected. In the remission stage, they are replaced by foci of increased dryness of the skin, peeling and lichenification. During the year, on average, there are 2-4 exacerbations.

Ointments and creams based on glucocorticosteroids, calcineurin inhibitors, and zinc are used in the treatment. In severe cases, hormonal drugs are used in the form of tablets or intravenous injections. Antihistamines are also used to combat itching.

Infectious mononucleosis

Infectious mononucleosis is the result of infection with human herpesvirus type 4 (Epstein-Barr virus). It is believed that already before the age of 5, about 50% of children become infected with this virus, and its prevalence among adults reaches 95% of the population. Most often, clinical signs of pathology occur at the age of 14-18 years.

Typical symptoms of infectious mononucleosis include:

General weakness and malaise.
Sore throat and pain when swallowing
Headache.
Slight increase in body temperature.
Sensation of aching in muscles and joints.
Enlargement and soreness of the lymph nodes in the region of the lower jaw and neck.

Skin rash occurs in less than ¼ of patients. Most often, they occur on the 5th-10th day of the course of the disease against the background of the erroneously prescribed antibiotics ampicillin or amoxicillin. The rash is represented by spots and papules and is located in the face, trunk, thighs and shoulders. It is accompanied by swelling of the skin and itching, sometimes peeling. The rash disappears within 5-7 days.

Since mononucleosis is of viral origin, antibiotic therapy is not used against it. Treatment of the disease involves the elimination of individual symptoms. In severe cases and with concomitant immunodeficiency, antiherpetic drugs are prescribed: ganciclovir, valaciclovir.

Prevention of rashes

In cases of infectious diseases, the only way to avoid rashes is to prevent infection by limiting contact with sick people and practicing basic personal hygiene.

In case of allergic pathologies, it is important to exclude contact with triggers, and if this is not possible, take antihistamines or corticosteroids previously agreed with the attending physician in advance.

A series of recommendations to help avoid skin rashes of other origin for people with sensitive skin:

Avoid direct skin contact with aggressive, irritating substances such as household chemicals.
Limit skin exposure to sunlight, cold.
Give preference to clothing and underwear made from natural fabrics.
Avoid tight, uncomfortable clothing and mechanically rough objects such as washcloths.
Use ointments or other skin care products recommended by a dermatologist or esthetician.

Conclusion

Skin rash is an important symptom of many diseases. She can tell you exactly what kind of disease you have to deal with. This, in turn, makes it possible to provide the right assistance before going to the doctor, avoiding mistakes or even coping with the problem on your own.