Red Spots on Baby's Legs and Around Mouth

Terminology and Types of Common Babyhood Rashes

Yous are dressing your 3-year-old child when you notice a rough, pimply red rash on her back and breast. You lot also find it on her arms and legs. What could it be? Should you telephone call the doctor?

You pick your vi-year-erstwhile up from school and detect his cheeks are bright red. He feels a little warm and then shows you a red lacy rash on his arms. You rush over to the doctor's role, agape this rash might be caused by some unusual illness

An hour subsequently dinner you lot are giving your i-year-onetime a bath. You notice a red and white, raised welt on her tummy. You find more on her legs. Xv minutes later she is completely covered in welts. What could this be? Should you rush her to the ER?

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Rashes are common during babyhood. From viral infection rash to food sensitivities to the fever and rash toddlers can feel from roseola. Children are constantly exposed to a diversity of illnesses and irritants that can cause rashes. The purpose of this site section is threefold:

1. To help you lot recognize several of the virtually common babyhood rashes,
2. To help you figure out what the cause of your child'southward item rash might be and how to care for it,
3. Most chiefly to help you decide if a rash is dangerous and requires an urgent folio to your doctor or if information technology can wait until the side by side day to be evaluated.

Rashes are rarely urgent and almost never require an urgent page to your dr.. In fact, there is basically only one rash that requires immediate medical evaluation – this is a rash chosen petechiae or purpura, which involves ruptured claret vessels under the skin. We volition discuss after how to recognize this rash. Well-nigh all other rashes can look until yous tin can telephone call your doctor's function to schedule an appointment. Diaper Rashes are discussed in a separate section.

Rash Terminology

Information technology is of import for you to understand the words we volition use in this discussion to depict a rash. This volition also aid yous more accurately depict a rash to your doctor's role over the telephone.

• Raised – this means you tin feel a bump when you lot rub your fingers over the rash.
• Flat – opposite of raised. The rash is flush with the skin and can't exist felt.
• Lacy – this looks as if someone placed a piece of fancy lace material over the skin and and so removed information technology, leaving a red banner of the lace on the skin.
• Pimply – this refers to very small raised bumps with a tiny white head in the heart, just like a pimple.
• Bumps – this means exactly when it sounds similar – a raised bump.
• Spots – this refers to flat spots that can't be felt.
• Blistery – this means a bump with clear fluid-filled middle.
• Pustule – a pus-filled cicatrice.
• Welt – this is a raised, function red and office pare-colored area. It can be small or large. An case of a welt is hives.
• Blotches – like a welt, but flat, and usually not a compatible colour – parts are red and parts are flesh-toned.
• Patch – this refers to a flat area of the skin larger than just a footling bump.
• Body – the chest, tummy, and back.

Most Common Rashes in Children

Hither are the most common childhood rashes. Read through them to meet if any seem to friction match your kid'south rash. If non, then the following department may help you identify the rash. None of these 5 rashes warrants an urgent page to your doctor unless yous feel your child is unusually ill.

Hives

These are welts. They tin appear of a sudden out of nowhere and tin can spread rapidly. They are most common on the trunk, but can also be on the extremities, and rarely on the confront. A very distinct characteristic of hives is that each welt will often come and go over a period of 10 to 15 minutes or as long as a few hours. Yous will meet some welts on the tummy, and so expect over again an hour later on and find them gone, only to see new ones on the dorsum.

The welts can exist small or very large, round or irregularly shaped, unmarried or clustered together, and over-lapping. They usually crawling, but not always. Hives appear when the body has an allergic reaction to a diverseness of things. Variables such as foods, medications, external irritants such as lather, detergent, wear material, or grass can crusade an allergic reaction. Children can also get hives during a normal illness such as a cold or fever. Because this is an allergic reaction, you need to notice your child for other signs of a severe allergic reaction such as throat tightness, wheezing, animate difficulty, or persistent vomiting. Go to the ER if these happen. The standard treatment for hives is Benadryl.

Eczema

There are ii factors that can cause eczema. Commencement, a genetic tendency toward dry out, irritated skin; and second, skin allergies to a variety of irritants and foods. Childhood eczema has 2 different appearances… When this rash is mild it looks like flat, dry, white patches. During flare-ups, information technology appears as red, irritated, raised patches. This rash characteristically occurs on the inner elbows and behind the knees in infants and immature children.

In older children, it usually affects the front of the knees and exterior of elbows. In can also appear on the body, face, hands, and feet. Your child can have equally little as i patch or dozens. Eczema can either be a curt-lived temporary reaction to something in your child's environs, or it can be a chronic condition lasting for years. The diagnosis and treatment of babyhood eczema is extremely involved. The standard handling is hydrocortisone cream 1%, over the counter.

Viral Rash

It's common for a viral rash to appear out of the bluish. In that location is a variety of viruses that tin can cause this type of rash. Some viruses are easily identifiable such as chickenpox, fifth disease, and roseola.Most viruses, however, practice not cause their own specific type of rash as chickenpox does. These generic viral rashes can take many dissimilar appearances, such as lacy or pimply, raised or flat, bumps, spots, or blotches, and they often (but not always) starting time on the trunk, and then spread to the extremities. The most important affair to sympathize hither is that if your child has a fever or is not feeling well, and breaks out in one of these generic rashes, then it is probably a harmless virus and nothing to worry about.

Hither is a cursory description of some identifiable viral rashes:

Chickenpox

This starts off with a few red spots or bumps (frequently mistaken for insect bites). Fever is common. The next mean solar day many more bumps will announced, and the kickoff bumps volition accept turned into blisters. On the third day, new bumps will appear, and the 2d-24-hour interval bumps will start to blister. On solar day 4 the original blisters will beginning to crust over. Usually, by 24-hour interval 5, no new bumps volition appear, and more blisters volition chaff over. On day 7 the majority of blisters will chaff over. The fever can last for 5 days. Contagion ends when the fever stops and all the blisters crust over. If this sounds similar what your child has, click here for a consummate give-and-take in chickenpox.

Very important note – information technology is virtually impossible to diagnose chickenpox on twenty-four hours 1, and still difficult to know for certain on day 2. Therefore, exercise not bring your child in to the doc on day i or 2 and expect a definite diagnosis. Is this viral rash contagious? Yes, it is, then if you lot think it'due south chickenpox, quarantine your child until day 3. If the spots have progressed as described above, then you probably don't fifty-fifty need a doctor to confirm it. Viral rash getting worse? Dr. Sears advises: when you first observe some spots, describe a circumvolve around a few of them. If they modify into blisters within 24 hours, consider it chickenpox.

Note: In that location is a highly effective chickenpox vaccine available to your child. Read most the vaccine hither.

5th affliction (or Slapped Cheek affliction)

This is a very common virus. Information technology starts out causing bright cherry cheeks that resemble slapped cheeks and sometimes a fever. Then a generic lacy or pimply rash spreads from the trunk to the extremities. At that place may also exist a runny nose and cough. If this sounds like what your kid has, click on it for a detailed discussion.

Coxsackie: Blisters on easily, feet, or mouth

Coxsackie is a virus that produces blisters on the easily, anxiety or oral cavity. Click here for a picture.

The Contagious Period for Viral Rashes

Information technology's worth noting that the questions of "How long does a viral rash last?" and "How long a viral rash is contagious?" have different answers depending on what illness your child may have. In general, viral illnesses are contagious starting the twenty-four hours before the rash and fever begin. Contagion ends when the fever breaks for 24 hours (and no Tylenol has been given to hide the fever), even though the rash volition continue. Craven Pox is the exception (run into in a higher place).

Roseola

This is 1 of the nigh common causes of fever and rash in infants and young children. It starts out with three days of moderate to high fevers, with no other symptoms. On mean solar day four the fever breaks and your infant develops a rash yet acts virtually entirely well. The rash consists of red spots and bumps starting on the upper back and neck, spreading down the trunk and into the extremities. It sometimes has a lacy appearance. If this sounds like what your child has, then click here for more information on roseola.

Insect Bites

This is a very common occurrence in children, even if you don't have pets, and you clean the house regularly. If your child develops several (generally less than 20) red bumps with a visible pinpoint hole in the middle, and then it is probably an insect seize with teeth.

Oestrus Rash

This appears as tiny cerise pimples, bumps, or spots. It usually appears on the back of the neck or lower dorsum, simply can involve the entire body. Information technology occurs due to a mix of sweat, heat, and clothing. Care for this past cooling your baby off, airing out the surface area, or applying a cool washcloth.

Contact Rash

There are two types of contact rash.

The first blazon of contact rash appears equally red, raised bumps or patches, and tin can have a slightly crusty surface. It is extremely itchy. They can also run in a line on the skin from the irritant being scratched forth the pare. This is oftentimes initially confined to 1 or two modest areas on the body. Notwithstanding, they may spread over the adjacent few days. It is caused by contact with an irritant such every bit toxicant ivy, other plants, cleaners, or other chemicals. Detect the ruby raised patch with crusty drainage in the middle. Detect the straight lines of rash due to scratching and spreading the poison.

This blazon of contact rash is treated with over-the-counter hydrocortisone 1%, calamine lotion, and            Benadryl liquid for astringent itching. Stronger prescription creams tin can be used if needed. You lot can prevent this blazon of rash past applying a lotion to the peel prior to adventuring, and so rinsing the peel after returning dwelling, with a special balm available at sporting goods stores. Ane such brand is Tech-Nu, just whatsoever brand should work.

The second type of contact rash is more than generalized throughout the body, very similar to the generic viral rashes discussed above. Information technology occurs equally fine, red pimples, or small spots. It can be caused by a huge diversity of irritants such as new clothes, soaps, shampoos, bubble baths, detergents or textile softeners, suntan or other lotions, bed sheets, grass, swimming pools, or anything else that comes into contact with your child's peel. The treatment is to figure out the cause, and use hydrocortisone as in a higher place if needed.

Impetigo

Impetigo is a bacterial infection in the skin that can occur just about anywhere only is nigh common around the mouth and nose. It appears as red, raised bumps or patches with a beloved-colored crust on the surface. It is treated with a prescription antibiotic ointment.

Facial Rashes

Nigh all infants and young children volition get a rash around the oral fissure and cheeks at some point during their babyhood. It normally appears every bit apartment patches, or slightly raised patches, with tiny red bumps scattered around the mouth and chin. For babe, rash around the mouth can be caused by drooling, pacifiers, allowing smeared food to remain too long on the confront, or rubbing the face against parent's apparel.

This rash will often remain for weeks at a time. Only when it seems to finally clear upward, something irritates it over again and it returns for another few weeks. In time, this will clear up for good, and no treatment is actually necessary. If its appearance bothers you, you can try applying Aquaphor healing ointment, lanolin ointment (used for sore nipples during breastfeeding), or hydrocortisone i% cream twice a day until articulate. But be warned, it will probably come up back.

Ringworm

This appears as a ruby, raised ring, with nigh normal pare in the eye. Itching is mutual. In that location tin can be whatsoever number of these rings, from just ane to 10 or more than. This isn't a viral rash, it is caused by a fungus. It is transmitted from other infected animals or people. A full general rash of fine, red bumps can announced elsewhere on the body – this is an allergic reaction to the fungus that causes the rash. The treatment is over-the-counter Lotrimin AF (clotrimazole) twice a solar day for several weeks, or until clear. Come across our commodity on Ringworm for a more detailed give-and-take and a photo.

Warts

Warts are fairly obvious and typically occur on the hands and feet.

Molluscum warts

Molluscum warts are another type of wart, but take a different appearance and usually occur on the chest or upper thighs. They are smooth, skin-colored bumps that accept a dimple in the center and ordinarily occur in clusters. The size can vary, from the tip of a ball-indicate pen to about half the size of the eraser end of a pencil. They can also itch.

These are the about mutual rashes in children. Unless your kid is acting extremely sick, none require an urgent call to the dr. or visit to the ER.

Caring for Common Babyhood Rashes

Treating Childhood Rashes – When to See Your Doctor

After reviewing the higher up conditions and linked articles, this should help you lot in deciding if a doctor's visit is necessary  for your child. Hither are two full general guidelines:

• You don't need to see a md if the rash isn't bothersome and your child is happy.
• Most of these rashes can stay around for weeks. They will eventually go away on their own – even if information technology stems from a virus that causes rash symptoms. Your doctor should evaluate whatever rash that persists for more than four weeks.

Treating Petechiae or Purpura – Physician Required

THE Ane RASH THAT REQUIRES AN URGENT CALL  TO YOUR DOCTOR OR ER VISIT Right AWAY
Petechiae or purpura forms when blood vessels under the peel break open. Petechiae appear as tiny, red, pinpoint, apartment spots. They look every bit if someone used a fine-tip red ink pen to put niggling dots on the skin. Purpura is similar, but is larger and can exist more than purple or blue in color. The 2 near important signs that you tin can use to distinguish these spots from other rashes are:

• They don't blanch when y'all printing on them. Many other kinds of spots, when pressed, will turn white or pare-colored for i or 2 seconds, and then turn ruddy again. Petechiae and purpura will stay ruddy or majestic. They won't flinch at all when pressed.
• They are completely apartment. Because they occur nether the pare, you won't be able to feel any bump.

There is ane situation where petechiae are non urgent. If your child has a very bad coughing or is vomiting, the pressure in the head can cause little blood vessels in the skin of the face and neck to rupture and form petechiae. THESE PETECHIAE ARE OK. THEY ARE Nix TO WORRY Nigh.

PETECHIAE OR PURPURA FOUND ANYWHERE ELSE ON THE Trunk BESIDES THE FACE AND Cervix COULD BE A SIGN OF A BLEEDING Problem OR A SERIOUS INFECTION. CONTACT YOUR Medico IMMEDIATELY IF You lot SUSPECT PETECHIAE OR PURPURA.

Dr. Sears, or Dr. Bill as his "little patients" call him, has been advising busy parents on how to raise healthier families for over 40 years. He received his medical training at Harvard Medical School'southward Children'south Hospital in Boston and The Infirmary for Ill Children in Toronto, the world's largest children's hospital, where he was associate ward chief of the newborn intensive care unit before serving as the chief of pediatrics at Toronto Western Infirmary, a teaching hospital of the Academy of Toronto. He has served equally a professor of pediatrics at the Academy of Toronto, Academy of South Carolina, Academy of Southern California Schoolhouse of Medicine, and University of California: Irvine. As a begetter of eight children, he coached Little League sports for 20 years, and together with his wife Martha has written more than than 40 all-time-selling books and countless articles on diet, parenting, and good for you aging. He serves as a health consultant for magazines, TV, radio and other media, and his AskDrSears.com website is one of the nearly popular health and parenting sites. Dr. Sears has appeared on over 100 television programs, including 20/twenty, Proficient Morning time America, Oprah, Today, The View, and Dr. Phil, and was featured on the embrace of Fourth dimension Magazine in May 2012. He is noted for his science-fabricated-simple-and-fun approach to family health.

August 20, 2020 September iv, 2020 Dr. Bill Sears

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Source: https://www.askdrsears.com/topics/health-concerns/skin-care/rashes/

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