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Child has inflammation and dryness on cheek. Prescribed antibiotic. What do you suggest?

Hi, our 2 year old boy has an angry, dry looking spot on his cheek, it has been there for 2 months approx. we have been to the doctor, and he gave us an antibiotic to put on it for a week he was not too worried about it because when we arrived for our appointment the redness to the mark had dissappeared and was almost unnoticeable except for the dryness on that particular patch. What do suggest? THe mark has stayed the same the whole time it has been there, it has not got any bigger or any better quite frankly.
Mon, 22 Oct 2012
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Pediatrician 's  Response
Dear Caroline,

Such stationary marks can signify either a fungal infection, allergy or a fixed drug reaction. You should review his intake of medicines. Even simple pain killers can cause such reactions, such as aspirin or infant ibuprofen. Fungal infections are rather more common in tropical climes, so it may be less likely, unless there is intense itching, or the mark has redness in the border areas and scaling (you can appreciate scaling if you go close to the mark and look for dead skin cells much smaller than but similar to the scales of a fish).

If the local antibiotic hasn't worked, consider visiting a good dermatologist, who may prescribe other types of medications, particularly, mild and non-harmful steroids that can resolve the rash as long as he/she considers it to be non-infectious.

Hope this helps.

With best wishes for his speedy recovery,

Dr. Taher
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