COMMON CHILDHOOD RASHES RASH WITHOUT BUMPS MEASLES (RUBEOLA) – all red rash starting on scalp/face and moves down to trunk and extremities; accompanied by “salt like” white rash in mouth RUBELLA (GERMAN MEASLES) – pink spots start on face and fade as rash spreads to trunk and extremities ROSEOLA INFANTUM – most common in kids under 3 ERYTHEMA INFECTIOSUM (FIFTH DISEASE) – with a “slapped cheek” appearance SCARLET FEVER – rash appears 1-2 days after sore throat, accompanied by a “strawberry tongue” (whitish with prominent red dots) RASH WITH BUMPS: CONTACT DERMATITIS – (poison ivy, oak or sumac, or irritants such as saliva, nasal discharge, sweat, harsh soap) URTICARIA (“HIVES”) – itching, swelling usually lasts less than 24 hours; if having trouble breathing go to emergency room SEBORRHEIC DERMATITIS – common on scalp, face, behind ears; itchy and red with yellowish, greasy scaling ATOPIC DERMATITIS – dry and severely itchy; often associated with asthma, allergies, or hives PSORIASIS – often inherited and can see periods of remission; red plaques with a silvery sheen at center, not usually itchy YEAST – in warm, moist areas o CANDIDA INFECTION – “beefy red” skin with sharp borders and “satellite” spots outside of border; often child also has Thrush (white curd-like plaques in mouth) o TINEA INFECTION “RINGWORM” – seen on body (also occurs on head, nails, feet or groin) TINEA VERSICOLOR – dark or light spots on arms or trunk PITYRIASIS ROSEA – starts with a single patch, then in 2-3 days may have a “Christmas tree “ pattern on back ACNE – common on face, neck and back; “folliculitis” is seen around hair shaft INSECTS – mites (scabies), chiggers (especially southern states), ticks, lice, mosquitoes, spiders, fleas HOT TUB DERMATITIS – “swimmers itch”, “seabathers eruption”: due to different organisms, rash usually appears under bathing suit area WARTS – commonly on hands and feet – may be raised or flat MOLLUSCUM CONTAGIOSUM – itchy, pearly or flesh colored bumps containing milky- white material; often on trunk, under arms and on face RASHES WITH FLUID-FILLED BLISTERS: CHICKEN POX (VARICELLA) – usually starts at head/face and moves toward trunk and extremities HERPES ZOSTER (SHINGLES) – reoccurrence of chicken pox, especially if child had first infection before age 1; often seen on trunk HERPES SIMPLEX (COLD SORES) – often in or near mouth IMPETIGO – commonly near nose or on extremities, highly contagious SCABIES – often between fingers and toes and skin folds; may see lines with a bump at the end; very itchy especially at night HAND FOOT AND MOUTH DISEASE – named for where you may see the vesicles COMMON INFANT RASHES DIAPER RASH – irritation from moisture or chemicals; Candida infection, seborrheic dermatitis, psoriasis or bacterial infections MILIA – white dots on newborn’s nose, checks, forehead after birth; lasts about three months NEONATAL ACNE – red bumps on infants cheeks, chin or forehead SALMON PATCH – flat, dull-pink spot on neck, forehead, eyelids or under nose MONGOLIAN SPOT – flat, brown, gray or blue spot; often on low-back, buttocks, or lower limbs MILIARIA (“PRICKLY HEAT”) – often on neck, underarms, and trunk SEB. DERM. (“CRADLE CAP”) – yellowish, greasy plaque on scalp SUCKING BLISTER – commonly on upper lip of infant; may be on fingers or other areas where baby sucks STRAWBERRY HEMANGIOMA – raised, red, firm spot; usually on face, scalp, or chest CAFÉ AU LAIT SPOT – light brown spots, usually not more than one CALL YOUR CHILDS DOCTOR WHEN: SKIN IS ITCHY CHILD LOOKS SICK FEVER LASTS MORE THAN 24 HOURS ANY FEVER IF CHILD IS UNDER 3 MONTHS OLD RASH BEGINS AFTER TAKING MEDICATION VESICLES (FLUID FILLED BLISTERS) PRESENT ANY RASH OCCURING WITH RED OR BROWN URINE RASH IS BLUE OR TENDER TO TOUCH RED STREAKING IS PRESENT RASH IS CRONIC RESOURCES 1. Ambulatory Pediatric Care 3rd Edition, Dershewitz, M.D. p. 392 - 449 2. Dermatology lectures, Dr. Kevin Conroy, Bastyr University faculty.