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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Rash That Comes And Goes, Starts As A Red Bump Under Skin, Fever, Fatigue. Any Suggestions ?

I have a niece that is 1 year old, she has had a rash for the past month, it comes and goes. The rash starts out as a red bump under the skin and then presents itself with a hard raised bump similar to a chicken pox, she has a low grade fever, fatigue, and is very miserable. We have been to the doctor but no one can figure it out. I am a nurse and I have never seen anything like it. The fever is what concerns me low grade but its there, any suggestions?
Mon, 29 Jul 2013
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Allergist and Immunologist,  's  Response
Hello,

Fever and skin rash is not a good combination, and usually viral infections are the cause. If however the skin red areas do not blanch on pressing with a glass (glass test) then you need to consult a doctor to exclude meningitis.

If doctors do not think it is meningitis, and blood counts are normal (exclude low platelet count), then this is urticaria that is quite common at this age.

Piriton syrup 5ml three times a day should keep it under control and ensure there is Dermocalm lotion to apply on the areas. The low grade fever may be due to the urticaria itself that happens due to histamine release.
This will settle down soon but requires a good course of antihistamines.
Do NOT avoid vaccines if this is just urticaria.

Best Wishes.
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Rash That Comes And Goes, Starts As A Red Bump Under Skin, Fever, Fatigue. Any Suggestions ?

Hello, Fever and skin rash is not a good combination, and usually viral infections are the cause. If however the skin red areas do not blanch on pressing with a glass (glass test) then you need to consult a doctor to exclude meningitis. If doctors do not think it is meningitis, and blood counts are normal (exclude low platelet count), then this is urticaria that is quite common at this age. Piriton syrup 5ml three times a day should keep it under control and ensure there is Dermocalm lotion to apply on the areas. The low grade fever may be due to the urticaria itself that happens due to histamine release. This will settle down soon but requires a good course of antihistamines. Do NOT avoid vaccines if this is just urticaria. Best Wishes.