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Child has oval shaped itchy discolored area with red rim on the elbow crease, has scabbed on scratching. What could this be?

My daughter is 6 and has a white oval shaped itchy area on the skin inside the crease of her elbow . The patch is discolored (i.e. whiter than the rest of her skin) and has a red rim around the edge. It is approximately 1.5 inches wide and 1 inch tall. She has scratched it to the point where there is scabbing on the edge from the scratching . What could this be? Is this something that she should see a doctor for?
Asked On : Tue, 16 Oct 2012
Answers:  3 Views:  168
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  User's Response
Hi there,
Thanks for the query.
From your description , your child's rash appears to be a fungal infection, called ringworm in layman's terms.It commonly occurs in creases due to sweat and moisture. It is nothing serious.
You need to wash the area with plain water, pat it dry and apply an antifungal cream containing clotrimazole or miconazole. This has to be done about 6 to 7 times throughout the day time and again once before bedtime. There should be marked reduction in the itching and also drying up of the rash within 48 hours. Continue treatment upto 1 week after the rash . Try to prevent the child from scratching it. Do not apply any steroid creams.
If however, you find no change after 3 days or any new symptom develops in the meantime, kindly take your child to the doctor.
Hope you are reassured. Take care. bye
Answered: Tue, 16 Oct 2012
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Pediatrician Dr. Kaushik K Murthy's  Response
good morning, this could be either a acute urticaria if its severely itching or spreading rapildy, it could also be atopic dermatitis or a simple fungal infection, in either of these cases doctors care is required, till then for reducing the symptoms for time being, u can try alovera based lotions applied on the lesion and ant anti allergic orally given - syp atarax 3.5 ml if ur daughter is 6 yrs old , if she is 6 months old it ll be atarax drops around 0.7 ml. u have not mentioned the age of the child, next time kindly furnish all the details. thank you.
Answered: Tue, 16 Oct 2012
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Cardiologist Dr. Anantharamakrishnan's  Response
It is probably a fungus infection / with secondary inection now
You should take her to your doctor - the chances of making a diagnosis and getting proper treatment by simple examination are good. At times, investigation like scraping and so on may be needed - for further clarification or confirmation
Wishing her speedy recovery
Good luck
Answered: Tue, 16 Oct 2012
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