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Allergy causing rashes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   My 5 year old grandaughter has had reoccurring red and pink spots up and down her spine. Almost big as mosquito bites, but clearly in a rash formation.
Doctor :   Hi
Doctor :   Ok.
Doctor :   I have seen the problem .
User :   can you tell me what might be causing this rash aongher spine? She does not fel l well either. No fever.
Doctor :   May I know since when the rash has shown up ?
User :   a few weeks ago I noticed it and it is back today. Not noticed this morning.
Doctor :   Ok.
Doctor :   May I know if she has itching ?
Doctor :   May I know if she has itching ?
User :   she says it doe not. it is directly from the top of her spine to the bottom. She wore a soft cotton shirt today.
Doctor :   Ok. May I know if the spots are 1.raised or flat ? 2. Lacy or Pimply or Bumps or Welts ? Are they blistery with fluid or Pustules with pus inside ?
User :   raised, all whitish in center pink to red toward the outside, no fluid, no puss, allfairly faintly lored
Doctor :   Ok, By the history that you have added that they were gone after some time and reappeared , And the co-relating description , I would say that These could be Hives .
Doctor :   Hives can appear suddenly out of nowhere, and can spread rapidly. They are most common on the trunk, but can also be on the extremities, and rarely on the face. 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. You will see some welts on the tummy, and then look again an hour later and find them gone
User :   hydrocortizone o.k. to help them go away? What would cause hives in a child?
Doctor :   The welts can be small or very large, round or irregularly shaped, single or clustered together and over-lapping. They usually itch, but not always.Hives are caused by the body having an allergic reaction to a variety of things including foods, medications, external irritants such as soap, detergent, clothing material, or grass. Children can also get hives during a normal illness such as a cold or fever.
Doctor :   Not hydrocortisone, Please do not use a topical steroid
Doctor :   Because this is an allergic reaction, you need to observe your child for other signs of a severe allergic reaction such as throat tightness, wheezing, breathing difficulty, or persistent vomiting. Go to the ER if these happen.
User :   what would you recommend?
Doctor :   The standard treatment for hives is Benadry
User :   thank you.
Doctor :   Do not exceed 2 ml at a time and not more than thrice daily.
Doctor :   Thank you for consulting me, Do you want me to advise on anything else ?
User :   no thank you. I will give oral benadryl as you suggested
Doctor :   Take care, And all the best for the child.
Doctor :   Bye for now.
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