Spot rashes on babies

Common childhood rashes | Pregnancy Birth and Baby

If your child has a seizure, call triple zero (000) immediately and ask for an ambulance.
If you think your child might have meningococcal rash, go to the nearest emergency department immediately.

Key facts

There are many different types of childhood rashes. Many are not serious.
If your child has a rash and fever, they should see their doctor.
If your child has a meningococcal rash, go immediately to the emergency department.

Meningococcal rash

If you think your child might have meningococcal rash, go to the nearest emergency department immediately.

You can read more about serious childhood rashes here.

Rashes with no fever or itching

Milia (blocked oil glands)

Up to 1 in every 2 newborn babies develop small white spots called milia on their face, especially on the nose. These are just blocked pores, and they’re not itchy or contagious. They usually clear up without treatment within a few weeks.

Erythema toxicum

Many newborns develop a blotchy red skin reaction called erythema toxicum, which can appear between 2 days and 2 weeks after birth. Flat, red patches or small bumps often first appear on the face and spread to the body and limbs. The rash is harmless, not contagious, and will clear after a few days or a week.

Baby acne

Some babies get pimples on their cheeks and nose in the first three months of life. These pimples normally disappear without any treatment, usually within a few months.

Nappy rash

Nappy rash is inflammation of the skin in the nappy area. It can look red, sore and inflamed. Nappy rash is usually caused by urine (wee) or faeces (poo) irritating the skin.

To avoid nappy rash, keep the nappy area clean and dry with frequent nappy changes and nappy-free time. You can help protect the skin by putting on a barrier cream such as zinc or soft white paraffin at each nappy change.

Persistent nappy rash can be treated with a medicated cream. Don’t use talcum powder or antiseptics to treat nappy rash. If your baby develops a fungal infection, you’ll need to use an antifungal ointment. Ask your doctor or pharmacist for advice.

Erythema multiforme (minor)

Erythema multiforme is a rash triggered by an infection (most commonly herpes simplex virus), medicine or an illness. Your baby might feel unwell or have a mild fever before the rash appears. Red spots develop on the hands, feet, arms and legs and spread symmetrically across both sides of the body. The spots often become raised or blistered and then develop into classic target-like lesions.

Erythema multiforme is not contagious, and usually resolves without treatment in 3 to 6 weeks.

Keratosis pilaris (‘chicken skin’)

Keratosis pilaris is a harmless condition where the skin becomes rough and bumpy, as if permanently covered in goose pimples. These bumps most commonly occur on the upper arms and thighs. You can try several things to help the rash to clear up, including moisturising regularly.

Rashes that might be itchy

Eczema (Atopic dermatitis)

Eczema is a very common skin condition affecting 1 in 3 Australians. It causes the skin to become itchy, red, dry and cracked, often in the creases at the knees and elbows.

Eczema commonly starts before a baby is 12 months old. Eczema follows a relapsing-remitting course. This means that there are flare-ups of the rash, followed by periods where there is no rash or a minimal rash.

Eczema management includes preventative treatment such as avoiding skin irritants, moisturising regularly and using bath oil. Treatment of flare-ups includes using steroid and anti-inflammatory creams.

Ringworm (tinea)

Ringworm is a common, contagious skin infection that causes a ring-like red rash with a clear centre. It commonly occurs on the scalp, feet and groin, but it can appear almost anywhere on the body.

Ringworm is caused by a fungus, not a worm, and is usually treated with over-the-counter antifungal creams. You should keep your child home from childcare or school until a day after you have started treatment to prevent spreading the infection.

Prickly heat (heat rash)

Heat rash might appear if your baby gets hot in a humid environment. The rash shows as tiny red bumps or blisters on the skin, which can be very itchy. Cooling your baby down and avoiding humidity is the best way to prevent heat rash, which usually clears within 2 to 3 days without treatment.

Impetigo (school sores)

Impetigo is a highly contagious bacterial infection of the skin. It causes red sores and blisters that form a yellow crust. It is very common in children aged 2 to 6, and it is not usually serious in this age group, but it can be dangerous for newborn babies.

If your child has impetigo, you should see your doctor, who might prescribe an antibiotic cream, ointment or tablet. This should clear the infection within 7 to 10 days. Keep your child home from childcare or school and away from young babies until the sores have dried up, usually a few days after treatment starts.

Hives (urticaria)

Hives is a raised, red, itchy rash. It is common on the chest, stomach and back, as well as the throat and limbs, but it can appear on any part of the body. Hives usually disappears within a few days without any treatment. Antihistamines can be given to relieve itching. If the rash doesn't go away, you should see your doctor.

Hives isn’t usually serious, but it can be a sign of a more serious allergic reaction (anaphylaxis). If your child develops hives after eating, or together with other symptoms such as vomiting, dizziness or trouble breathing, you should seek urgent medical attention.

If your child has symptoms of a serious allergic reaction (anaphylaxis), call triple zero (000) immediately and ask for an ambulance.

Pityriasis rosea

Pityriasis rosea is a mild skin rash that sometimes appears after a sore throat, cold or fever. It begins with a single pink or tan-coloured patch on the chest or back. Red, oval-shaped patches, which may be itchy, then appear on the chest or back and limbs over the next weeks.

The exact cause of pityriasis rosea is unclear, and it is not thought to be contagious. The rash usually clears up within a couple of months without treatment.

If you are pregnant, pityriasis rosea can in rare cases lead to complications. See your doctor if you are pregnant and have contact with a child who has pityriasis rosea.

Molluscum contagiosum

Molluscum contagiosum is a viral skin infection that is spread by skin-to-skin contact or by sharing swimming pool water, bath water or towels.

Molluscum contagiosum spots look like pimples and grow into round pearly white lumps, usually 2 to 5 millimetres in size. They can be itchy. They usually heal without treatment within 6 months, but sometimes longer.

Rashes with fever

Slapped cheek disease (fifth disease)

Slapped cheek disease is a viral infection that mainly affects pre-school and school-age children. It typically causes a bright red rash on both cheeks that spreads as a ‘lacy’ rash on the body and limbs. Occasionally, it causes a fever.

Slapped cheek disease is usually mild and clears up in a few days without treatment. The child is contagious before the rash appears, but not once it has appeared.

If you are pregnant and catch the virus, it may cause a type of anaemia in your unborn baby. It can also cause miscarriage. If you suspect you or your child has slapped cheek disease, you should avoid contact with people who might be pregnant.

Hand, foot and mouth disease

Hand, foot and mouth disease is a mild but highly contagious viral illness. It causes a rash on the palms of the hands and soles of the feet and blisters in the mouth. It is not the same as the foot-and-mouth disease that affects farm animals.

The disease is common in childcare and kindergartens. Your child might feel unwell and have a fever and blisters on the hands and feet and in the mouth and in the nappy area. The illness usually lasts about 7 to 10 days. Children with hand, foot and mouth disease should stay away from childcare or school until all the blisters have dried up.

Hand, foot and mouth disease usually resolves on its own without complications. In rare cases, it can be more serious, especially if you have a weakened immune system or are pregnant. Complications can include infections of the brain and heart muscle and miscarriage.

Roseola infantum

Roseola infantum is a contagious viral infection that can cause cold-like symptoms and a high fever. The high fever may last for a few days. Roseola infantum can also cause some children to have a febrile convulsion (seizure).

Children with roseola infantum develop a rash after the fever has resolved. The rash looks like raised pink spots that start on the chest, stomach and back and spread to the limbs. The child is contagious before the rash appears, but not after. The rash usually lasts 3 to 5 days.

Febrile convulsions can look scary but are generally not harmful.

If your child has a seizure, call triple zero (000) immediately and ask for an ambulance.

When to seek help

Many babies develop a skin rash in their first days or weeks of life as their sensitive skin adapts to a new environment. Most rashes are harmless and go away on their own, but if your baby seems unwell, or if you’re worried, you should see your doctor. They can advise about the cause and whether treatment is necessary.

Whatever their age, you should take your child to the doctor if they have a rash and persistent high temperature, cold or cough symptoms or swollen neck glands.

Treatment of common childhood rashes

If you think your child might be contagious, they should stay at home. Keep them away from school, childcare and other children. You should also keep them away from people who are pregnant, or who might be pregnant, since some childhood infections can cause serious problems in unborn babies.

You can use paracetamol or ibuprofen (in babies aged over 3 months) to reduce fever — read the packet instructions carefully to ensure your child receives the right amount for their age and weight.

Your pharmacist can advise you on treating the symptoms of common rashes. For example, you can use over-the-counter creams to prevent itchiness.

If you are concerned about your child’s rash, call Pregnancy, Birth and Baby on 1800 882 436 to talk to a maternal child health nurse, or call Healthdirect on 1800 022 022 to talk to a registered nurse. Alternatively, contact your doctor.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

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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What to do next

Rashes on the child's body

Many parents have noticed suspicious rashes on the body of their children. This symptom indicates the presence of any disease of the body or simply its painful condition. In any case, a rash on a child's body can be very dangerous. Therefore, if you notice a rash on the skin, you should immediately make an appointment with the child's pediatrician.

Rash Help

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+7 (812) 242-53-50

Clinic address: St. Petersburg, Vyborgsky district, st. Asafiev, 9, building 2, lit. A (metro station Ozerki, metro station Prosveshcheniya)

Causes of rashes

A rash in children can appear for various reasons. The most “safe” case is when rashes appear due to poor hygiene. In addition, the cause of the rash is allergies, blood diseases, cardiovascular diseases, as well as infections and microbes. In the case of an infection, a rash is not the only symptom: fever, runny nose, sore throat, severe cough, chills, etc. are added to it. Often infections are accompanied by indigestion and vomiting. The rash in such cases does not occur immediately, but appears after a few days.

Rash most often occurs as a symptom of diseases that are commonly referred to as "children's". We are talking about chicken pox, rubella, measles, scarlet fever and some other infections that people get sick, mainly in childhood. Moreover, depending on the disease, the nature of the rash changes, so that doctors can diagnose only one type of rash. The most dangerous rash, which refers to the symptoms of meningitis.

Diseases causing rashes on the skin of children

Let's analyze the types of rash in a child in more detail, depending on the disease.

Chicken pox. Perhaps the most famous disease that is accompanied by a rash. With chickenpox, reddish spots appear on the entire surface of the body, which grow and become bubbles filled with a clear liquid. The growth of the bubbles is accompanied by itching, but over time they dry out and fall off, sometimes leaving characteristic “pockmarks”. Chicken pox often causes fever, and doctors recommend treating blisters of the rash with brilliant green.
Measles. Initially, a rash in the form of large red spots appears on the face, but literally within 2-3 days it spreads “from top to bottom” along the body to the very legs. In addition, the child begins to have a sore throat, runny nose and cough, and the temperature rises. The largest spots merge into large inflamed areas.
Meningococcal infection. The most dangerous infection, as it causes meningitis. It is very important to recognize the disease in time, as it develops very quickly. The rash is expressed in the form of large spots resembling bruises. If you see a doctor as soon as possible, the chances of a cure are very high.

Rubella. The rash is accompanied by fever and inflammation of the lymph nodes. A rash on the body of a child in the form of small red spots appears mainly on the buttocks and in the places where the limbs are bent. After a few days, the rash disappears without leaving any consequences.
Scarlet fever. With scarlet fever, a rash in the form of small pimples appears on the second day all over the body, but their highest concentration is noted in the groin, in the places of the folds of the arms and legs and in the lower abdomen. After a few days, the rash disappears, and the skin in these places begins to peel off strongly. Also during the peak of the disease, swelling, rash and redness of the entire skin are noted.
Enteroviral infection. Redness and rash appear on the third day after infection and last for about two to three days. Their other symptoms, doctors note vomiting, diarrhea, fever and general weakness of the body.
Parasites. In this case, the rash is not caused by infections, but by scabies mites or other parasites that live on the human body. The scabies mite "drills" holes in the skin, leaving entrances and exits in the form of dots. The most “attractive” parts of the body for a tick are places with thin skin: groin, wrists, areas between fingers, etc. Since the tick can be transmitted from one person to another, urgent treatment is necessary after the detection of this pathology.
Cardiovascular diseases. As a rule, these diseases are not typical for children, although they occur in them. Vascular disease can be recognized by small hemorrhages under the skin. Larger areas form bruises.

Other causes of rashes

Sometimes, even with all the rules of hygiene and the absence of diseases, a rash on the body of a child appears with enviable regularity. In this case, it is most likely an allergic reaction of the body to various substances. If this is true, then allergies can be recognized by other symptoms that will inevitably appear along with the rash: a runny nose, cough, tears, and itching. Also, a rash on the body of a child may appear from burns by plants or insect bites. Even a simple mosquito bite often causes a severe rash in children, which is accompanied by itching.

And, of course, very often a rash appears due to poor hygiene. Unlike adults, children's skin is much thinner and more delicate, so even a short-term lack of care for it can lead to a rash. Children, especially the smallest, should be washed and washed regularly. But wearing a lot of clothes on him or leaving him in wet diapers is not worth it - this can lead to diaper rash, irritation, and a rash.

Rash Help

If you find a rash on your child's body, you should see a doctor as soon as possible. You can make an appointment at our Poem Health clinic. In addition, you can call a doctor at home if the child is in a serious condition. Moreover, sometimes a doctor's house call is mandatory, since many diseases with symptoms in the form of a rash are easily transmitted to such children. You need to be especially careful with rubella, as it seriously affects the health of pregnant women. And if you suspect meningitis, you need to call not just a doctor, but an ambulance team.

Do not try to get rid of the rash on your own before seeing a doctor. Firstly, it will make it difficult for a doctor to determine the diagnosis. Secondly, it can lead to even more rashes in the child. It is best to wait for the examination of the doctor and listen to his recommendations for further treatment of the rash. Bacterial rashes are treated with antibiotics, scabies - with special means against ticks, allergies - with appropriate drugs with isolation from the source of allergies, etc. More complex treatment is needed for cardiovascular diseases, but, in the end, a rash on the body of a child is always treated successfully.

Rash Prevention

To avoid a rash on the body, measures must be taken to prevent it. First of all, we are talking about the basic rules of personal hygiene. At the earliest age, parents should take care of this, later they should teach this to their child as early as possible. Compliance with hygiene helps to get rid of not only rashes, sweating and dirt, but also prevents many infectious diseases.

In addition, infections can be prevented by vaccination. Some of them are done once and for life, others need to be done periodically. Doctors have a vaccination schedule for different ages, so it's best for parents to trust their pediatrician. As for the rash due to allergies, this is often associated with age-related changes. As a child grows, their immune system strengthens, but at an early age, if there are problems, you should follow a diet and take drugs as directed by doctors.

Rash in a child on body, legs, back

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