question-icon

Suggest treatment for skin rashes

default
Posted on Mon, 6 Oct 2014
Question: 11 Year old girl with red rash over trunk - covering most of her front and back . No raised bumps. No itching. No fever. Wasn't there this AM noticeable after returning from school. No change in food or environment.
doctor
Answered by Dr. Ronald Schubert (2 hours later)
Brief Answer:
Skin rash in 11 year old

Detailed Answer:
Thanks for contacting HCM

From your inquiry you sound concerned about a new rash in your daughter. You describe the rash as red covering her trunk front and back. She has not had any recent illness and no fever or chills or upper respiratory symptoms. She also denies having itching which would indicate possible allergic reaction.

If you could kindly send pictures of the rash I could be diagnose the rash for you.

A spontaneous rash in a child is usually caused by a viral illness. I would ask is she up to date on all her immunizations including measles mumps and rubella? If she has then the likely cause is other childhood illnesses like fifth's disease. No fifth's disease is caused by a virus and usually follows an URI and is completely benign and resolves spontaneously. Another childhood rash is pityriasis rosea which again is caused by a virus and usually starts with a single patch and quickly spreads in a Christmas tree like distribution. It may cause itching. This is also benign and we treat only for the itching and will resolve by itself over a week or two.

Another possibility is contact dermatitis without the itch. If the distribution of the rash appears along clothing lines then she may have a sensitivity to her clothes. Of course itching would accompany this but not always.

To help reduce the rash I would recommend an antihistamine if she starts itching. Also topical hydrocortisone may help if again she starts itching. For a larger area of itching calamine lotion with Benadryl can also help.

Hope this answers your question. Please contact me if you can get the pictures
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for skin rashes

Brief Answer: Skin rash in 11 year old Detailed Answer: Thanks for contacting HCM From your inquiry you sound concerned about a new rash in your daughter. You describe the rash as red covering her trunk front and back. She has not had any recent illness and no fever or chills or upper respiratory symptoms. She also denies having itching which would indicate possible allergic reaction. If you could kindly send pictures of the rash I could be diagnose the rash for you. A spontaneous rash in a child is usually caused by a viral illness. I would ask is she up to date on all her immunizations including measles mumps and rubella? If she has then the likely cause is other childhood illnesses like fifth's disease. No fifth's disease is caused by a virus and usually follows an URI and is completely benign and resolves spontaneously. Another childhood rash is pityriasis rosea which again is caused by a virus and usually starts with a single patch and quickly spreads in a Christmas tree like distribution. It may cause itching. This is also benign and we treat only for the itching and will resolve by itself over a week or two. Another possibility is contact dermatitis without the itch. If the distribution of the rash appears along clothing lines then she may have a sensitivity to her clothes. Of course itching would accompany this but not always. To help reduce the rash I would recommend an antihistamine if she starts itching. Also topical hydrocortisone may help if again she starts itching. For a larger area of itching calamine lotion with Benadryl can also help. Hope this answers your question. Please contact me if you can get the pictures