Childhood Diseases

Question
Posted by: KC | 2009-04-23

Q.

Skin Concern

Morning Dr
I know is is very difficult to give a diagnosis of a rash through an email but if you could offer me any advise I would appreciate it.
My son who is fair and has sensitive skin has broken out in a pimply rash. The area' s of the rash include inner arm, thigh and inner thigh. The rash is small red raised pimples which feel quite rough to touch. The surrounding skin is not red and inflamed. He has battled with mild eczema before but it has been cleared for months and we have not had any dry patches. I am not sure if the pimples could be eczema because previously the skin appeared raised, red and rough. He has recently had Roseola. He was not seen by a doctor at the time, I just phoned the Dr and he was diagnosed telephonically. I had him at the Dr a few days prior to the rash for very high temps that I was battling to keep under control. The Dr said he had tonsilitis and ear infection and was treated for the infection. Two days later the fever suddenly broke and the next day his entire trunk and face was convered in a measle like rash so I am very certain it was Roseola. Could the current pimply rash be related to this as it looks quite similar just that it is in small concentrated patches. Apart from the rash he is well and there have been no changes other than the fact he is suddenly eating very well.
I am currently using physiogel on the affected areas.
Would you recommend any other products over the counter that I could try.
Thanks for your advise.

Expert's Reply

A.

Paediatrician

As you say yourself, it is very difficult to diagnose a rash without being able to see your son. This rash is definitely not due to the roseola. It sounds like a condition called molluscum which is a viral infection of the skin which is very resistant to treatment and is infectious to others.Please read more about molluscum on Google.

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