Pediatric facial rashes

A 6-year-old female presents to your clinic. Her mother is concerned about a persistent red rash around her mouth for the past 3 to 4 months. She recalls the eruption initially began in the nasolabial folds with a few red bumps and mild scaling that was thought to be eczema.

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Infectious causes of erythematous rashes in children and important differential diagnoses. Erythematous rashes in children are common. This review focuses on infectious causes and important differential diagnoses.

Because childhood rashes may be difficult to differentiate by appearance alone, it is important to consider the entire clinical presentation to help make the appropriate diagnosis. Considerations include the appearance and location of the rash; the clinical course; and associated symptoms, such as pruritus or fever. A fever is likely to occur with roseola, erythema infectiosum fifth diseaseand scarlet fever. Pruritus sometimes occurs with atopic dermatitis, pityriasis rosea, erythema infectiosum, molluscum contagiosum, and tinea infection.

If you believe your child needs immediate attention and you have concerns for a life-threatening emergency, call Not sure what counts as urgent and what's an emergency when your child is sick or injured? When it can't wait, know where to take your kids.

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A viral exanthem is an eruptive skin rash that is often related to a viral infection. Immunizations have decreased the number of cases of measles, mumps, rubella, and chickenpox, but all viral skin infections require clinical care by a physician or other healthcare professional. Each of the viral exanthems listed here have a distinct pattern, which can aid in the diagnosis.

Balmy weather also can lead to itchy, irritated skin. Check out the list from the American Academy of Pediatrics AAP to see how you can help prevent, identify, and soothe these common summertime skin rashes. Heat rash also known as prickly heat or miliaria is seen most often in babies and young children when sweat gland pores become blocked and perspiration can't escape.

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Rashes can be caused by infection viral, fungal, or bacterialcontact with irritants, atopy, drug hypersensitivity, other allergic reactions, inflammatory conditions, or vasculitides see Table: Some Causes of Rash in Infants and Children. The photo shows lesions of molluscum contagiosum. Lesions are typically 1 to 5 mm, solitary or grouped, firm, painless papules. They are pearly to pink in color, dome shaped, and may be umbilicated.

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Children often have to visit their pediatrician because of skin rashes. Review pictures of common childhood skin rashes, including ringworm, chicken pox, eczema, measles, insect bites, diaper rashes, and yeast infections, to help you become familiar with common conditions that might be causing your child's rash. This skin rash picture demonstrates a classic case of eczema, which can be helpful in diagnosing your child with eczema.

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