HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Causes A Painless Rash On The Face Of A Child?

Posted on Thu, 10 Mar 2016

Question: Found some rash on my kids face on Friday morning during brushing teeth, She is 5 year old and the rash is around cheek.

Visited a pediatrician and based on the doc it is not herpes. But couple of doctors here said it could be herpes.

the rash is very small and not visible much. She don't have fever or pain, she is active and eating well.

Got an appointment for a dermatologist for Monday 18th.

https://www.YYYY.com/s/YYYY/IMG_3921.MOV?dl=0 the video for the lesson, can you please take a look?

Attaching the pictures from this morning as well.

We sleep on the same bed, is there any risk? and she plays with her toys any risk there ?

Answered by Dr. Asmeet Kaur Sawhney (1 hour later)

Brief Answer:
Seems to be herpes infection

Detailed Answer:
Hi
Thanks for writing to us at healthcaremagic
I have gone through your complaints and reviewed the attached photographs
I can appreciate some small fluid filled blisters on the left cheek above her upper lip. This can be the presentation of herpes infection.
Herpes infection spreads by direct contact with the secretions. To prevent yourself from infection don't kiss her and don't touch her face.
Yes she can play with her toys. There is no risk as long as the blisters are intact.
Regards
Dr Asmeet

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Asmeet Kaur Sawhney (2 hours later)

We checked it and the rash is kind a gone now. Attaching the pic. so you still think it is herpes? and it was not big and it was like hives.

Again I saw this yesterday morning and now it is gone. there is no pain or anything and we don't see blisters.

Answered by Dr. Asmeet Kaur Sawhney (3 hours later)

Brief Answer:
Possibility that it's not herpes, get clinical examination done

Detailed Answer:
In the picture you have attached now I can appreciate few very tiny bumps on the area above upper lip and no blisters are seen. There is a possibility that it is not herpes infection and your daughter is having some kind of eczema but I would recommend you to consult a dermatologist and get her examined clinically to confirm the diagnosis.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Asmeet Kaur Sawhney (2 days later)

Went to the Dermatologist locally and it is diagnosed to be http://www.aocd.org/?page=PerioralDermatitis

Answered by Dr. Asmeet Kaur Sawhney (32 minutes later)

Brief Answer
Seems to be a case of eczema

Detailed Answer:
Perioral dermatitis is characterised by rash consisting of tiny bumps and pustules along with redness around the mouth. It usually starts in the nasolabial folds. Moreover it is persistent eruption and doesn't disappear in 3-5 days.

According to me your child seems to be having eczema and not perioral dermatitis.
I would recommend you to avoid using harsh soaps and chemicals and apply moisturising creams on your child's face 2-3 times in a day.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Prasad