There are many causes of rashes in kids. Each rash comes with a different pattern of symptoms, and you can tell the difference when you know the signs. But it’s always best to see your pediatrician if you’re concerned.
Usually, rashes don’t need more than a little tender loving care to get by, but there are a few that should raise a red flag to get treatment from a doctor’s office.
If your child has a rash and isn’t feeling well, get advice from your care team on what to do.
Rashes and children go together like summer and sunshine. There are a lot of different types, they are super common, and they can look different from child to child. Though they may seem scary, most rashes get better without much help. If they don’t, that’s helpful information for your pediatrician. Trust your instincts. You know your child, and even though you may not be able to diagnose the rash, you know if your child is well or not.
Here, we’ll cover some of the most common causes of a new rash in babies and children. Remember that rashes look different on different skin colors. For example, in lighter skin, a rash can look pink or red. In darker skin tones, the same rash may appear purple or brown.
Roseola is a virus that’s more common in babies and younger children (under 2 years old). It first causes a high fever and then a skin rash. It usually goes away on its own and doesn’t cause any problems.
Impetigo is a common and very contagious skin infection. Mild cases may go away on their own, but most children will need treatment with antibiotic creams or pills. It usually goes away with antibiotic cream.
Hand, foot, and mouth disease (HFMD) is a common childhood illness that spreads quickly because it’s so contagious. It usually isn’t serious, but that doesn’t make it any easier for the little ones experiencing it.
Scabies are tiny mites (similar to bugs) that cause a very itchy rash. The mites live in the skin and cause an allergic reaction. They are very contagious and can spread through person-to-person contact.
Molluscum contagiosum is a common skin infection caused by a virus. It’s annoying and hard to get rid of, but it isn’t actually dangerous. It spreads by touching another person’s rash or items contaminated with the virus.
Ringworm (tinea corporis) is a fungal skin infection. Ringworm has different names, depending on the part of the body it affects. For example, on the feet it’s called “athlete’s foot.” And in the groin it may be called “jock itch.” The rash often comes up as an itchy, red ring on the skin or scalp. The infection spreads by skin-to-skin contact or from contact with objects (like towels or clothing) that carry the fungus. Ringworm can infect anyone who comes into contact with it.
The cause of fifth disease — also known as erythema infectiosum — is a respiratory virus that infects both adults and children. Though this illness is relatively harmless in children, it can be dangerous for an unborn baby. That’s why you should let your pregnancy care team know if you’re pregnant and you’ve been exposed. Fifth disease can also be dangerous for children with certain medical conditions like sickle cell anemia, HIV, cancer, and a weakened immune system.
Heat rash goes by a lot of names: miliaria, prickly heat, or sweat rash. It can affect any age, but it’s most common in children and babies. Heat rash isn’t serious or contagious.
Hives, also known as urticaria, cause an intensely itchy skin rash that appears suddenly. It usually happens in response to an allergen — a harmless substance in the environment that triggers an allergy.
“Leaves of three, let it be!” The itchy rash caused by touching or coming into contact with poison oak and poison ivy is very common, especially in the summer months.
Swimmer’s itch (also called cercarial dermatitis) is an itchy rash that can happen after swimming in freshwater lakes and ponds. It can happen in saltwater, too, but that’s less common. It’s not contagious.
Thankfully, most childhood rashes will go away on their own. But, here are a few tips for making your child more comfortable:
Use scent-free soaps and lotions. Scented skin products can irritate the skin. Use scent-free soaps like Dove for bathing and avoid bubble baths.
Don’t rub the skin after bathing. Pat the skin dry to avoid aggravating the rash.
Avoid hot water. Higher-temperature water can irritate rashes. Stick to cool baths or use cool compresses to relieve any discomfort.
Try an oatmeal bath. Oatmeal baths can soothe irritated skin. Dermatologists recommend colloidal oatmeal because it reduces inflammation and itch.
Give an antihistamine. If your child’s rash is itchy, give an antihistamine like diphenhydramine (Benadryl) or cetirizine (Zyrtec).
Stay out of the sun. UV radiation from the sun can aggravate a rash. Practice sun safety tips to prevent further irritation.
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There are some signs that a child with a rash needs to be seen urgently by your pediatrician or in the emergency room.
If your child has a rash and is unwell, they need medical attention. Some signs that your child is unwell include:
High temperature
Lack of interest in playing, or they aren’t acting like themselves
Being unusually sleepy
Stiff neck
Sensitivity to light
Confusion
Not eating, drinking, or urinating
Abdominal pain
Nausea, vomiting, or diarrhea
Red, cracked lips
Red eyes
Swollen hands or feet
Difficulty breathing or fast breathing
Difficulty swallowing
When trying to identify your child’s rash, pay attention to its appearance and location, and your child’s other symptoms. This can help you pinpoint a possible cause. But having the rash assessed by a healthcare professional is the best way to identify your child’s rash.
Many other rashes can look like heat rash including bacterial skin infections like folliculitis, acne, and fungal infections like intertrigo. Your child’s healthcare professional can help you figure out if your child has heat rash or another condition.
Yes, stress can sometimes cause rashes. Most stress-associated rashes look like hives. You can treat the hives with cool compresses, antihistamines, and stress management.
When trying to identify your child’s rash, pay attention to its appearance and location, and your child’s other symptoms. This can help you pinpoint a possible cause. But having the rash assessed by a healthcare professional is the best way to identify your child’s rash.
Many other rashes can look like heat rash including bacterial skin infections like folliculitis, acne, and fungal infections like intertrigo. Your child’s healthcare professional can help you figure out if your child has heat rash or another condition.
Yes, stress can sometimes cause rashes. Most stress-associated rashes look like hives. You can treat the hives with cool compresses, antihistamines, and stress management.
There are many causes of rashes in kids. In most cases, rashes resolve on their own with time and aren’t a reason for worry. We can’t always protect our kids from every illness, but we can figure out which ones are worth losing sleep over. If your child is unwell or just not behaving like normal, getting medical advice is always the right thing to do.
Images used with permission from VisualDx (www.visualdx.com).
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