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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Has Red Rash On Back, Flaring After Bath, Red Bumps. Soap Allergy, Treatment?

My 2 1/2 yr old daughter has got a red bumpy irritated rash on her back. It started close to her neck between the shoulder blades and spreads down the centre of her spine out towards the ribs. It flares up the worse when she takes a bath, becoming more irritated and red, and also has tiny little raised bumps every where. When she is dry the bumps are ruff. Is this an allergy to soap. She has been playing with some cheap coloured soap crayons in the bath. What is this and what should I been using to soothe it?
Thu, 25 Apr 2013
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Dermatologist,  's  Response
Hello ..Thanks for your query.
The lesions you mention may be eczematous lesions.
These typically are more in dry skin.Any contact irritant might make it flare up more, eg. soaps ,lotions ,clothes (synthetic).
You should visit a dermatologist for a confirmatory diagnosis.This frequently requires long term management and life style changes to keep the flares under control.
Your daughter should take bath in luke-warm water with only mild soaps.She should be applied good emollients in adequate quantities several times in a day to keep the skin hydrated.
The rash she has might require topical steroids and should be best applied after advised by a dermatologist.
Hope this helps.Take care!
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Child Has Red Rash On Back, Flaring After Bath, Red Bumps. Soap Allergy, Treatment?

Hello ..Thanks for your query. The lesions you mention may be eczematous lesions. These typically are more in dry skin.Any contact irritant might make it flare up more, eg. soaps ,lotions ,clothes (synthetic). You should visit a dermatologist for a confirmatory diagnosis.This frequently requires long term management and life style changes to keep the flares under control. Your daughter should take bath in luke-warm water with only mild soaps.She should be applied good emollients in adequate quantities several times in a day to keep the skin hydrated. The rash she has might require topical steroids and should be best applied after advised by a dermatologist. Hope this helps.Take care!