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Small child, random red speckles under eyes, occur due to tiredness. Allergy symptoms?

My 4 year old daughter seemingly randomly gets red speckles in a crescent shape under her eyes. They aren t bothersome to her, raised, or itchy. I have many food and environmental allergies (I m her mom.) She hasn t been diagnosed with any allergies yet, because this is the only possible symptom I ve noticed and I m reluctant to have the blood work done on her. They seem to come on when she is tired and / or later in the day.
Asked On : Thu, 21 Feb 2013
Answers:  1 Views:  27
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Pediatrician 's  Response
Helllo Kthrone. This sounds like a petechial rash. This is a rash caused by small bleeds in superficial capillaries close to the surface of the skin. They often appear when increased pressure from actions such as coughing or vomiting causes the tiny capillaries to burst or leak a little, or by friction like rubbing of the eyes.
Given that there is a family history of allergies, your daughter might have an allergic irritation causing her to rub her eyes to the point of aggravating these capillaries and causing this rash.
As unpleasant as it sounds it isn't anything to panic about. I would suggest having her platelet count checked, just to ensure she doesn't have an underlying bleeding problem. Then start to make a note of the environment (eg dust, exposure to certain flowers or pollen, animal fur etc), food eaten and so on, on the days the rash develops. This may help you narrow down potential allergic triggers, she could then be tested for IgE's (allergic markers) to specific triggers.
Answered: Thu, 21 Feb 2013
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