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There are many theories as to the development of
skin rashes, but experts are not completely clear what causes some
of them. Generally a skin rash is an intermittent symptom, fading
and reappearing. Rashes may accompany a range of disorders and
conditions, such as:
- Infectious illness. A rash is symptom of many different kinds
of childhood infectious illnesses, including chickenpox and
scarlet fever. It may be triggered by other infections, such as
Rocky Mountain spotted fever or ringworm.
- Allergic reactions. One of the most common symptoms of an
allergic reaction is an itchy rash. Contact dermatitis is a rash
that appears after the skin is exposed to an allergen, such as
metal, rubber, some cosmetics or lotions, or some types of plants
(e.g. poison ivy). Drug reactions are another common allergic
cause of rash; in this case, a rash is only one of a variety of
possible symptoms, including fever, seizures, nausea and vomiting,
diarrhea, heartbeat irregularities, and breathing problems. This
rash usually appears soon after the first dose of the course of
medicine is taken.
- Autoimmune disorders. Conditions in which the immune system
turns on the body itself, such as systemic lupus erythematosus or
purpura, often have a characteristic rash.
- nutritional disorders. For example, scurvy, a disease caused
by a lack of Vitamin C, has a rash as one of its symptoms.
- cancer. A few types of cancer, such as chronic lymphocytic
leukemia, can be the underlying cause of a rash.
Rashes in infancy
Rashes are extremely common in infancy, and are
usually not serious at all and can be treated at home.
Diaper rash is caused by prolonged skin contact
with bacteria and the baby's waste products in a damp diaper. This
rash has red, spotty sores and there may be an ammonia smell. In
most cases the rash will respond within three days to drying efforts.
A diaper rash that does not improve in this time may be a yeast
infection requiring prescription medication. A doctor should be
consulted if the rash is solid, bright red, causes fever, or the
skin develops blisters, boils, or pus.
Infants also can get a rash on cheeks and chin
caused by contact with food and stomach contents. This rash will
come and go, but usually responds to a good cleaning after meals.
About a third of all infants develop "acne" usually after the third
week of life in response to their mothers' hormones before birth.
This rash will disappear between weeks and a few months. Heat rash
is a mass of tiny pink bumps on the back of the neck and upper back
caused by blocked sweat glands. The rash usually appears during hot,
humid weather, although a baby with a fever can also develop the
rash.
A baby should see a doctor immediately if the
rash:
- appears suddenly and looks purple or blood-colored
- looks like a burn
- appears while the infant seems to be sick
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