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Noticed rash on body. Can it be bug bite?

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Dermatologist
Practicing since : 2010
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Question
My daughter appeared with a rash this morning. Its itchy. Its the only place on her body. I think its a bug bite but I am not sure.
Posted Sat, 16 Nov 2013 in Skin Hair and Nails
 
 
Answered by Dr. Rahul Kumar 1 hour later
Brief Answer:
details below

Detailed Answer:
Hello
thanks for the query and photograph.
I can see the lesions are fluid filled which suggests an insect bite hypersensitivity. Dont worry just apply a mild steroid like fluticasone in night for 3 nights and give her an anti histamine tablet like cetrizine. She will be fine.
Let me know if you have any other doubts.
Thank you
Above answer was peer-reviewed by
 
Follow-up: Noticed rash on body. Can it be bug bite? 32 hours later
Ok I dont think its a bug bite. Ita gotten a lot worse.
 
 
Answered by Dr. Rahul Kumar 1 hour later
Brief Answer:
chicken pox

Detailed Answer:
Hi,
Thanks for the follow up and image.
Ya it is not bug bite. She has developed chicken pox.
The rash is typical of that.
Please apply calamine lotion. I would like to know her age. Anti viral treatment is not required at early age.
Above answer was peer-reviewed by
 
Follow-up: Noticed rash on body. Can it be bug bite? 6 minutes later
She has had the chicken pox with exposure by siblings twice since. I dont think it can be that.
 
 
Answered by Dr. Rahul Kumar 9 minutes later
Brief Answer:
details required

Detailed Answer:
Hello,
The rash is looking typical of that.
Books describe it as few drop on XXXXXXX petal like rash.
Can you please upload a close photo.
The earlier photograph was very clear. Later one is bit blurred.
I would also like know the following.
1. Does she have fever ?
2. Any itching in the rash?
3. Apart from trunk on which all part of body is it present. Is it involving the limbs too or only on central part of body. Please answer the above. Thank you
Above answer was peer-reviewed by
 
Follow-up: Noticed rash on body. Can it be bug bite? 11 minutes later
She has no fever. Thus far it is only on the trunk of her body. She said its not that itchy.
 
 
Answered by Dr. Rahul Kumar 11 minutes later
Brief Answer:
Details below

Detailed Answer:
Hello,
Only two conditions present like this.
1. Chicken pox.
2. Insect bite hypersensitivity.

As for now I can see that the lesions are present only in a band.
If it spreads up or down on the trunk be assured it is chicken pox.

It happens only once in life in most people but it is not a rule.
I have seen few patients with multiple relapses.

Please get her blood investigation done, just to be sure her immune response is working well.

Thank you
Above answer was peer-reviewed by
 
Follow-up: Noticed rash on body. Can it be bug bite? 1 minute later
Heres the close up.
I guess I will take her in tomorrow.
Thanks
 
 
Answered by Dr. Rahul Kumar 6 minutes later
Brief Answer:
Details below

Detailed Answer:
Hello,
Yes it looks like chicken pox.
Dont worry there is nothing severe, you can take her to a doctor tomorrow.
If possible let me know the proceedings.
Wishing her a good health.
Thank you
Above answer was peer-reviewed by
 
Follow-up: Noticed rash on body. Can it be bug bite? 12 hours later
She has shingles. She has been prescribed a medication to tame the out break so it doesnt get worse.
Thanks!
 
 
Answered by Dr. Rahul Kumar 21 minutes later
Brief Answer:
thank you

Detailed Answer:
Oh, shingles at such a young age.
Well I wish her a faster recovery.
Don't worry she will be fine
Thank you.
Above answer was peer-reviewed by
 
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