Childhood Diseases

Posted by: KC | 2009-08-07


Few Questions

Hi Dr
Once again, a long weekend has come up and my little boy (20 months) is sick. He started with a croup/barking cough last night with no other symptoms. He has not had a runny nose or cold so I knew it was not a post nasal drip. I could not get an app with his paed so I took him to the gp to be sure he would be ok for the weekend. The GP said his chest seems clear but his throat is red and inflammed and he suspects his upper airways are also inflammed which is causing the croup cough. He prescribed prelone and a cough syrup. He did not want to give antibiotics yet as my little boy has been on so many courses of antibiotics this year due to repeated tonsilitis. He is not running a bad fever so my gp advised to wait and see?
The GP was however quite concerned about a rash on my baby' s face. This rash has been there for about two months now and flares up and settles throughout the day. The rash can appear to be pimply at times and spreads from his cheeks to temples, middle of his forhead and chin and goes from pink in colour to bright red and can feel warm at times. He went through his medical book which got me quite concerned and took some notes. (I am using physiogel protect as a daily moisturizer and I only use glycerine soap and aqueous creams)He said he will do some research over the weekend and give me a call on tuesday. Of course, I am now a little anxious. Also with the long weekend here, I am worried his inflammed tonsils are going to become infected.
Will prelone help the inflammation of the tonsils as well as the airways?
Do you have any advise to offer on what the rash could be?
Thank you, once again. I am so grateful for this forum!

Expert's Reply



Your son appears to have croup whch is usually caused by a virus infection at this age. Prelone is a good choice of treatment as this prevents the vocal cords from swelling and causing breathing difficulties.It is not necessary and indeed contraindicated to give a cough mixture.He should recover after 3 or 4 days.
I find it difficult to advise you about your son's rash without being able to see him. It does not sound like eczema from your description. It may be a condition called seborrhoea or urticaria. The latter is more likely and is an allergic rash which closely fits the description you have given here. It would be best to consult a dermatologist about this rash.

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