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#1
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Strange rash
Hi gang,
My three-year-old son has had a very persistant rash for the past two days. Yesterday morning my wife alerted me to pea-sized red bumps on my son's arms and legs, and a very swollen and red left ear. I thought initially he must have been bitten by a spider on the left ear, and we put in a call to our doctor. While we were waiting for him to call back, the rash spread rapidly into half-dollar-sized red blotches with irregular borders, and his right ear grew swollen and red. I gave him 1/2 tsp of Benadryl, and within 15 minutes the symptoms began to fade. After an hour they were gone entirely. He was in no pain, he did not itch. Our doctor said he treated a boy the previous day for the exact same thing; the boy had eaten peaches (my son had also eaten peaches that day). Later on in the day the symptoms came back with a vengence. No swelling on the ears, but his cheeks each got large red raised spots, and so did his arms and legs (to the point where most of his left leg was covered; the rash wrapped around his legs and arms). We called the doc again and he told us that its not unusual for the symptoms to return while his body works the allergen/whatever out of his system. He recommended Chlortrimatron, so I gave him 3mg of that. It worked slowly, but within two hours the symptoms were fading. When we put him to bed, he was completely fine. This morning he had a tiny bump on the back of his arm. After about six hours, he had a few more bumps on his arms and legs. A few hours later he had the rash all over his face, arms, and legs again. I gave him a full teaspoon of Benadryl, and about an hour later the symptoms appear to be fading. He had no peaches today. My son has eaten peaches from the time he could first sit up, so I'm inclined to think he's not allergic to them. He's not eaten anything different than he normally does, and its been hot, muggy, and rainy here, so he hasn't spent much time outdoors lately (for exposure to insect bites etc). Still, this is Az, and we get plenty of critters crawling around the house. He has no obvious open sores, bite marks, or puncture marks on his body. It does not look like he's been bit, brushed up against something, stepped on something sharp, etc. If anything it appears to be something he's eaten, although as I said, his diet lately has been no different than usual. Any ideas what this could be? The rash, when present and at its worst, has very pink, pronounced edges, lighter pink interiors, and are irregularly shaped. They're very blotchy and raised, and cover everything except his trunk (they're virtually non-existant on his trunk and the soles of his feet and hands). He's had a slight fever for about 4 days now, something we figured he picked up from his cousins and completely unrelated to the rash. The fever comes and goes. Maybe the two are connected? Any advice would be appreciated. I am convinced that his body fighting off some sort of allergen or venom, but I really hate to see it be a long process. Thanks. |
#2
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Strange rash
"Jason Wagner" wrote:
Hi gang, My three-year-old son has had a very persistant rash for the past two days. ear grew swollen and red. I gave him 1/2 tsp of Benadryl, and within 15 minutes the symptoms began to fade. Any ideas what this could be? The rash, when present and at its worst, has very pink, pronounced edges, lighter pink interiors, and are irregularly shaped. They're very blotchy and raised, and cover everything except his trunk (they're virtually non-existant on his trunk and the soles of his feet and hands). He's had a slight fever for about 4 days now, something we figured he picked up from his cousins and completely unrelated to the rash. The fever comes and goes. Maybe the two are connected? Any advice would be appreciated. I am convinced that his body fighting off some sort of allergen or venom, but I really hate to see it be a long process. Maybe something contaminated his pillow or sheets: Caterpillars? I forget which one, but AZ has a caterpillar with extremely irritating hairs. Cow-itch tree? (AKA bottle tree ... the one with the seedpods that have reddish seeds covered in orange hairs) The hairs are extremely irritating. Fire ants? Those tiny red ones have a bite that does make the bite site swell up again and need treatment for several days. Antihistamine or cortisone ointment works against all three. Change the sheets, mattress pad, pillows and pillowcases. Wash them in hot soapy water. Keep him on the benadrly or Chlortrimetron for a few days until it goes away Tsu -- To doubt everything or to believe everything are two equally convenient solutions; both dispense with the necessity of reflection. - Jules Henri Poincaré |
#3
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Strange rash
Is there any chance that this could be Rocky Mountain Spotted Fever or
Ehrlichiosis??! Kara Tyson Lyme Disease Support Group of AL Serving patients with tick diseases: Lyme Disease Babesiosis Colorado Tick Fever Ehrlichiosis Relapsing Fever Rocky Mountain Spotted Fever Tick Paralysis Tularemia Q Fever Bartonella Master's Disease West Nile Hept. C |
#4
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Strange rash
On Sat, 16 Aug 2003 22:38:35 -0700, "Jason Wagner"
wrote: My three-year-old son has had a very persistant rash for the past two days. Yesterday morning my wife alerted me to pea-sized red bumps on my son's arms and legs, and a very swollen and red left ear. I thought initially he must have been bitten by a spider on the left ear, and we put in a call to our doctor. While we were waiting for him to call back, the rash spread rapidly into half-dollar-sized red blotches with irregular borders, and his right ear grew swollen and red. I gave him 1/2 tsp of Benadryl, and within 15 minutes the symptoms began to fade. After an hour they were gone entirely. He was in no pain, he did not itch. Our doctor said he treated a boy the previous day for the exact same thing; the boy had eaten peaches (my son had also eaten peaches that day). Later on in the day the symptoms came back with a vengence. No swelling on the ears, but his cheeks each got large red raised spots, and so did his arms and legs (to the point where most of his left leg was covered; the rash wrapped around his legs and arms). We called the doc again and he told us that its not unusual for the symptoms to return while his body works the allergen/whatever out of his system. He recommended Chlortrimatron, so I gave him 3mg of that. It worked slowly, but within two hours the symptoms were fading. When we put him to bed, he was completely fine. This morning he had a tiny bump on the back of his arm. After about six hours, he had a few more bumps on his arms and legs. A few hours later he had the rash all over his face, arms, and legs again. I gave him a full teaspoon of Benadryl, and about an hour later the symptoms appear to be fading. He had no peaches today. My son has eaten peaches from the time he could first sit up, so I'm inclined to think he's not allergic to them. He's not eaten anything different than he normally does, and its been hot, muggy, and rainy here, so he hasn't spent much time outdoors lately (for exposure to insect bites etc). Still, this is Az, and we get plenty of critters crawling around the house. He has no obvious open sores, bite marks, or puncture marks on his body. It does not look like he's been bit, brushed up against something, stepped on something sharp, etc. If anything it appears to be something he's eaten, although as I said, his diet lately has been no different than usual. Any ideas what this could be? The rash, when present and at its worst, has very pink, pronounced edges, lighter pink interiors, and are irregularly shaped. They're very blotchy and raised, and cover everything except his trunk (they're virtually non-existant on his trunk and the soles of his feet and hands). He's had a slight fever for about 4 days now, something we figured he picked up from his cousins and completely unrelated to the rash. The fever comes and goes. Maybe the two are connected? They probably are. You are describing a very typical presentation for acute urticaria (hives). Some people typically first think of allergy with hives because that's what typically causes them in adults. Children, however, most commonly get hives as a reaction to a viral infection. The viral infection may manifest as a typical cold, a mild fever for 3 to 4 days perhaps with intestinal symptoms, or may in fact have no symptoms at all except for the hives. Hives tend to be irregularly shaped, relapsing, raised lesions that are usually very itchy (although small children often don't seem bothered as much by what would usually be a maddeningly itchy rash in an adult) and may completely disappear with Benadryl, only to return when the medicine wears off. They are usually symmetrically distributed anywhere on the body and last about a week or so before going away on their own. Any advice would be appreciated. I am convinced that his body fighting off some sort of allergen or venom, but I really hate to see it be a long process. Spiders are blamed for mysterious rashes and sores much, much more often than they should be. Hives from food allergies typically don't last for several days, either. While you can't conclude he's not allergic to peaches simply because he's tolerated them before (one may become sensitized to something previously tolerated at any time), I would say it's safe to conclude your son is not allergic to peaches. If one goes on enough of a "fishing expedition," one can often accidentally find something to blame for the urticaria which is not likely the culprit, even when a symptom (fever) of the true cause (viral infection) has been there all along. Family physicians are more likely to blame hives in small children on a recently consumed food as some of them unfortunately tend to think of children as small adults. I typically see clusters of children with virus-induced urticaria, as he may have as well given the case from the prior day, not only because of the natural clustering that occurs with random events but because at any of these times there is likely an urticariogenic virus circulating in the community. PF |
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Strange rash
PF Riley wrote:
Children, however, most commonly get hives as a reaction to a viral infection. The viral infection may manifest as a typical cold, a mild fever for 3 to 4 days perhaps with intestinal symptoms, or may in fact have no symptoms at all except for the hives. Thanks for mentioning that. It makes perfect sense but wasn't something I had known before and explains a mysterious rash in one of my boys a few years ago. It took me a LONG time to realize that my sons had viral-triggered asthma - I kept looking for a trigger that wasn't there. Now it is so damn obvious, but I wasted years (and over-medicated my oldest son) before I figured this out. I know that allergies, eczema and asthma are linked, so hives in a kid who has asthma doesn't seem like a stretch. Wendy, learning something new everyday |
#6
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Strange rash
On Sun, 17 Aug 2003 22:28:10 GMT, Wendy Marsden
wrote: PF Riley wrote: Children, however, most commonly get hives as a reaction to a viral infection. The viral infection may manifest as a typical cold, a mild fever for 3 to 4 days perhaps with intestinal symptoms, or may in fact have no symptoms at all except for the hives. Thanks for mentioning that. It makes perfect sense but wasn't something I had known before and explains a mysterious rash in one of my boys a few years ago. No problem. Hives in adults can be from viruses, too. Last year in May I got a cold and actually wheezed a little on a Sunday evening (I have mild seasonal allergic rhinitis but I am not asthmatic.) The next morning I was covered in urticaria. I remember looking at myself in the mirror that morning thinking, "Geez I'm glad I know what this is or I'd be freaked out!" (I had a renewed understanding of parents who call in frantically about rashes.) I loaded up on antihistamines and went to work, where I subsequently saw three kids with viral illnesses and urticaria that morning, and a few more during the rest of the week. Another cause of mysterious rashes associated with viral infections in kids are viral exanthems, which are also rashes in association with viral infections but have different morphologies from urticaria and usually do not itch. It took me a LONG time to realize that my sons had viral-triggered asthma - I kept looking for a trigger that wasn't there. Now it is so damn obvious, but I wasted years (and over-medicated my oldest son) before I figured this out. Viral illnesses are the most common cause of asthma exacerbations. I know that allergies, eczema and asthma are linked, so hives in a kid who has asthma doesn't seem like a stretch. Usually all three conditions are sprinkled liberally amongst atopic families, with some family members unlucky enough to get the hat trick. I'd be interested to know if atopic kids are more likely to get virally induced urticaria, or if it occurs with equal frequency in nonatopic kids. PF |
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Strange rash
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#9
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Strange rash
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#10
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Strange rash
PF Riley wrote:
No problem. Hives in adults can be from viruses, too. Last year in May I got a cold and actually wheezed a little on a Sunday evening (I have mild seasonal allergic rhinitis but I am not asthmatic.) The next morning I was covered in urticaria. I remember looking at myself in the mirror that morning thinking, "Geez I'm glad I know what this is or I'd be freaked out!" Interesting. I get hives with nearly every antibiotic. I've gotten to the point where I just take the best choice antibiotic and take benedryl at the same time. I've never had a severe allergic reaction to any of the antibiotics, and realize that I'm in danger of getting one, but I've gotten thoroughly sick of getting an antibiotic NOT on my "do not prescribe" list and still getting hives, changing the prescription and STILL getting hives, etc. I've got an epipen and live .3 miles from the hospital. I'll take my chances. But now I wonder if it's not the medicine giving me hives, but the underlying illness that is being treated with the antibiotics. (Yes, I understand that viruses ought not be treated with antibiotics, but the time I've been thinking of we weren't sure whether it was viral or bacterial.) By the way, I've got the "hat trick". Mild allergies, moderate eczema and viral-triggered asthma. I tend to get hives easily. I've noticed that my few food allergies can manifest in nearly any form: a runny nose, an itchy finger or wheezing. By the way, I'm not whining: everything is quite manageable. It's just interesting to consider that the hives might not mean I can't ever have that antibiotic again. Wendy |
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