Analysis of rash disorders in children

  Some mothers often ask what is wrong with the many red spots on the baby’s face and back. What kind of rash is it? What should I do? Should it matter? So we have collected the most common types of rashes in children, emergency rash, eczema, rubella, chicken pox symptoms, to give you mothers to distinguish, and the corresponding care, so that accidentally got a rash baby quickly get better! Let’s take a look!
  Baby emergency rash symptoms and care
  A. Emergency rash
  Early childhood emergency rash is a common disease in early childhood, most children have had this disease before the age of 2. The disease is characterized by a sudden onset of high fever, which usually lasts about 4 days, and then a pink spot-like rash appears all over the body.
  Symptoms of clinical toddler emergency include.
  There are two stages of early childhood emergency rash, after an incubation period of 5-15 days, the following symptoms first appear.
  1. The body temperature reaches 39-40°C, but the child is in good condition.
  2. Sometimes high fever convulsions occur, but some children also have cough, swollen lymph nodes in the neck and ear pain.
  Enter the second stage about 4 days after the onset of the disease, when the symptoms are.
  1.The body temperature returns to normal rapidly.
  2. A small, clear, pink blotchy rash appears, mostly on the head and trunk, and can last for about 4 days.
  Complications are rare in healthy children, but complications such as hepatitis or pneumonia may occur in immunocompromised children.
  Because meningitis is similar to a toddler emergency, the doctor will do further tests on the child to rule out bacterial causes of meningitis. There is no specific treatment for early childhood emergencies, but care should be taken to reduce the child’s fever by giving him/her a warm bath or rubbing him/her with warm water. The recovery from this disease is rapid, and the child can return to normal soon after the rash disappears.
  Can the emergency rash be contagious?
  The sudden onset of high fever in early childhood and the appearance of rose-colored papules all over the body after the fever subsides often confuse parents. In fact, this condition is medically known as toddler rash.
  The clinical characteristics of the rash are a sudden onset of high fever, which can be 39.5 degrees or higher, and a fever that lasts 3 to 4 days, followed by a sudden drop in body temperature to normal. When the fever subsides or a few hours to 1 to 2 days after the fever subsides, a rose-colored macular rash appears all over the body. The entire course of the disease is about 8 to 10 days.
  The rash is caused by a virus and is usually an acute infectious disease spread by saliva from the respiratory tract. Therefore, it is contagious. If your child is in close contact with a sick child and lacks immunity in his or her body, it is entirely possible for him or her to be infected. Since the incubation period of E.R. is 1 to 2 weeks, your child should be closely monitored during this time and if a high fever develops, immediate measures should be taken to temporarily isolate the child so as not to expand the infection. If your child is still well after 2 weeks, it means that he or she is not infected with the E.E. virus. The key to preventing E.E.R. is to avoid contact with children who have E.E.R. At the same time, children should be encouraged to exercise more and improve their immune system in order to prevent the disease from occurring in the first place.
  The emergency rash and its care
  Many young mothers come to the doctor because their children have a rash, which is often diagnosed by pediatricians as “toddler rash”. The rash is a common rash in infancy and early childhood. Most scholars now believe that it is virus-related.
  The disease is mainly seen in infants under the age of one year and can occur in all seasons, but it is rare to have more than two infections in a lifetime. Its clinical manifestations are rapid onset, with a high fever of 39-40°C, lasting 3-5 days with a natural decline and immediate mental improvement. It is characterized by a fever-relief rash or a fever-relief rash. The rash is mostly irregular, with small rose spots, or may fuse together and fade with pressure. The rash is first seen on the neck and trunk and soon spreads throughout the body, with more on the waist and buttocks. The rash resolves within 1-2 days and does not leave pigmented spots. The disease may have respiratory or gastrointestinal symptoms, such as pharyngitis and diarrhea, before the rash appears, and the lymph nodes around the neck are generally enlarged, which is significant for the diagnosis of early childhood emergency rash.
  There is no specific treatment for this disease, and antibiotic treatment is ineffective. The only symptomatic treatment is to use antipyretic sedatives when the fever is high, irritable or easy to jump; if the fever persists, it is necessary to supplement more fluids, drink more plain water, vegetable soup, juice, etc.
  What should I do if I have an emergency rash?
  ① Let the child rest, the room should be quiet, the air should be fresh, and the blanket should not be too thick.
  ②Keep the skin clean and hygienic, and often wipe off the sweat stains on the child’s body to avoid catching a cold.
  ③Give the child more boiled water or juice water to facilitate sweating and urination to promote the discharge of toxins.
  ④Eat a liquid or semi-liquid diet.
  ⑤ When the body temperature exceeds 39℃, use warm water or 50% alcohol to wipe the child’s body to prevent the child from having a seizure caused by high fever.
  5. Emergency rash should focus on care
  Emergency rash occurs in infants and young children aged 6 to 18 months, often with sudden onset and rapid rise in body temperature, often at 39℃ to 40℃. Early severe cases of high fever may be accompanied by convulsions, some with mild runny nose, cough, puffy eyelids, and conjunctivitis. During the fever there is poor appetite, nausea, vomiting, mild diarrhea or constipation, and a congested pharynx with enlarged lymph nodes in the neck. Three to five days after the fever drops, a light red rash or maculopapular rash of various sizes may appear all over the child’s body, starting from the chest and abdomen and spreading to the whole body soon after the fever subsides. At this point, the child’s fever has subsided and he or she can sleep peacefully, which is medically known as the “fever rash” and is a unique manifestation of early childhood acute rash.
  The rash does not require special treatment, as long as the child is given proper care and symptomatic treatment, it will heal on its own in a few days. When a child has an emergency rash, parents should keep the child in bed and rest, go outdoors as little as possible, and pay attention to isolation to avoid cross-infection. When the child has a fever, give the child plenty of water, easily digestible food, and appropriate supplements of vitamin B and vitamin C, etc. If the temperature is high and the child appears to be crying and irritable, you can give physical cooling or apply a small amount of antipyretic drugs appropriately to avoid convulsions. Young mothers should not rush to reduce the fever of their children in this situation, but should check the vaccination status and cooperate with the doctor for treatment.
  Baby chickenpox symptoms and care
  1. Chickenpox symptoms.
  Chickenpox is caused by the varicella herpes virus, which mainly occurs in children under 10 years old, and the end of winter and early spring is the epidemic season. After being infected, usually after an incubation period of 11 to 20 days will begin to develop, and the incubation period is already at risk of infecting others. If you have had chickenpox once, you will not usually get it again.
  Initially, there is a slight fever, lethargy and loss of appetite, followed by blisters and a red rash, mainly on the trunk, followed by the face and limbs, and in severe cases, the rash may even grow in the mouth and ears. After about 1 week, the rash will start to scab over, and it will take 2 to 3 weeks for the scab to fall off completely.
  2. How to care for the child?
  (1) Isolation of children: Patients suspected or diagnosed with chickenpox should be isolated. If there are other children at home who have not had chickenpox, they should choose another place to live or not live in the same room with the patient. Isolation should be continued until all herpes are dry and crusted.
  (2) Avoid scratching the herpes with your hands: Pay special attention to not scratching the facial herpes to prevent it from being scratched and becoming infected with pus, which may leave scars if the lesion is deeply damaged. To prevent this from happening, keep your nails short and keep your hands clean.
  (3) Stop itching: clothing should not be too much too thick and tight, too hot sweating will make the rash itchy. After cleaning the skin, use a local application of stove glycolic lotion on the chicken pox.
  (4) Pay attention to disinfection and cleanliness: the clothes, bedding, towels, dressings, toys, tableware, etc. that come in contact with chickenpox herpes solution should be disinfected by washing, drying, scalding, boiling, burning, and not shared with healthy people, respectively, according to the situation. At the same time, you should also change your clothes and blankets regularly to keep your skin clean.
  (5) Pay attention to changes in the condition: Pay attention to changes in the condition, if you find that the rash continues to be high fever, coughing and wheezing, or vomiting, headache, restlessness or drowsiness, and convulsions should be sent to the hospital in a timely manner.
  (6) Open windows regularly: Air circulation also has the effect of killing the virus in the air. However, care should be taken to prevent the patient from getting cold when the room is ventilated. Room as much as possible to let the sun shine, open the glass windows (glass can block the virus-killing ultraviolet light).
  (7) Physical fever reduction: In case of chickenpox with fever, it is best to use physical fever reduction methods such as ice pillows, towels, and drinking more water. The use of aspirin-based drugs to reduce fever should be avoided to avoid terrible complications.
  (8) Diet: Patients with chickenpox should drink plenty of water and supply nutritious, easily digestible foods such as milk, eggs, fruits, vegetables, etc.
  Baby eczema symptoms and care
  1, baby eczema, commonly known as “ringworm”, is a kind of allergic reaction to milk, breast milk and egg whites and other foods caused by allergic skin disease, it may also be a genetic quality caused by the skin disease, if the mother and father suffered from eczema as a child, their babies are also prone to eczema.
  The skin of a small baby is very delicate and very minor irritations can make the baby’s skin sick. Infant eczema usually appears between 1 month and 2 years of age after birth, and is most serious in babies 2-3 months old. It often occurs on the cheeks, scalp, forehead, between the eyebrows, neck, under the jaw or behind the ears, and may extend to other areas. The rash is similar in shape, with some babies having yellow greasy scales or scabs on a flushed skin surface, while others have a rash with small blisters scattered on the flushed skin.
  No matter what kind of rash, it is accompanied by a burst of itching, and the infant often leans on the mother’s body and rubs to relieve the itch until the small blisters rub through and form a large, moist, flushed erosion. At this time, there is a lot of exudate, which can wet the clothes and coverings and form scabs after drying, or it can become a purulent infection or cause swelling of nearby lymph nodes. Ringworm will heal quickly with proper treatment, but it often recurs and will mostly disappear on its own after weaning, but there are also cases where it is slow to heal, and the rash decreases when you have a fever and increases when you are teething, and it is heavy in winter and spring but lighter in summer.
  2.After getting ringworm, the following treatment measures should be taken.
  (1) The general treatment principles are: find out the cause, treat the symptoms, feed reasonably, and take good care of the baby. Generally speaking, first, we should observe whether there is any food allergy, especially allergy to animal protein such as milk, breast milk or egg white; second, the mother eats fish, shrimp, crab, chicken, etc., which can also be transmitted to the infant through breast milk, and after eating these animal foods, we should observe whether the infant’s skin disease is aggravated, and if it is related to the above, the infant should change the feeding method; for example, if the mother is allergic to breast milk, change to milk or the mother should not eat fish, shrimp, crab and other foods during breastfeeding. At the same time, the infant should be treated for indigestion, constipation and diarrhea.
  The infant’s skin is tender and less resistant, so it is important to keep the area clean to avoid infection. When the scab is oozing, do not scrub with hot water soap to avoid more and more ooze and thicker scab.
  (2) Commonly used internal medications are Benadryl syrup, vitamin B complex, vitamin C, etc., with additional antibiotics when there is secondary infection.
  (3) Topical medication depends on the state of the skin lesion, water vesicles or redness, with 2% boric acid water solution night or 0.1 ralph lauren water solution wet compress, after the exudate and vesicles disappear, topical corticosteroid preparations, such as eczema cream, oil, skin easy cream.
  (4) infants do not plant cowpox during an eczema attack (smallpox has disappeared, now not planted cowpox), and do not come into contact with people who have herpes simplex to avoid herpes.
  Care of children with eczema
  3, eczema is the interaction of a variety of internal and external factors caused by skin allergic reactions, its prevention and care focus on.
  (1) find the cause: eczema is complex, is the interaction of a variety of internal and external factors caused by allergic reactions, can be found through skin tests and serum-specific IgE examination.
  (2) Avoid contact with suspected allergens: If the child is allergic to milk, he or she should be breastfed, or the milk should be boiled for a while to denature the proteins in the milk and reduce the antigenicity to reduce the allergic reaction, or other milk substitutes can be used, and dairy products such as cream, cheese and ice cream should be avoided. For people allergic to eggs, eggs should also be cooked for a longer period of time, or only the yolk should be eaten without the egg white, because the antigenicity of eggs mainly comes from the egg white, and the egg yolk rarely causes allergic reactions. For those allergic to dust mites, avoid using carpets, try to move old newspapers, magazines and other items that tend to accumulate dust out of the house, and do not play with toys stuffed with cotton or feathers. For people allergic to mold, do not use humidifiers and avoid places where mold can easily grow, such as basements, dark places, leaf piles and places where grass and trees grow. Allergy to animal feathers, dander, do not keep pets at home.
  (3) Underwear should be wide and use cotton products, try not to wear silk, pure wool and chemical fiber products.
  (4) scratching, friction, soap, hot water and inappropriate topical stimulation often aggravate eczema, should be avoided. Small infants are incapable of self-care, to prevent them from scratching, the upper limbs can be fixed in bed with a restraining belt.
  (5) too hot will increase itching and make eczema worse, so do not give the child too much clothing, and do not cover too thick at night, in principle, the child should wear less than the mother, not more than the mother wear.
  (6) During an eczema attack, the diet should be light, eat less fish, shrimp, crab and other proteins and spicy food to avoid aggravating the disease.
  There is also a recipe for smearing a thin layer of cooking oil on the child’s eczema! You need to first understand the root cause of eczema formation. The root cause of eczema is the imperfection of the gastrointestinal system. The allergens eaten by certain allergic children tend to enter the bloodstream through the thinner intestinal walls, and since the subcutaneous capillaries are the most abundant, eczema is immediately manifested on the skin. The essence of treating eczema is not to test for allergens from countless substances and avoid them, but to improve the baby’s gastrointestinal system. And nowadays, medical science does not advocate that babies should be denied proper nutrition in order to avoid allergies. So usually you can eat some Mamie’s Love or Hibiscus and other beneficial bacteria to improve the baby’s gastrointestinal system, and when the baby’s gastrointestinal system tends to be perfect, eczema will get better.
  All topical medication is a symptom but not a cure. It is important to emphasize that eczema is recurring and may get better at the beginning of the medication, but it will come back soon.
  Baby rubella symptoms and care
  Rubella is an acute respiratory infection caused by the rubella virus. Because the rubella vaccine has not been included in the immunization program in China, rubella occurs more frequently in children, with epidemics occurring about every two to three years. Rubella can occur in children of all ages, but is more common in children up to 5 years of age, and is less common in infants up to 6 months of age because of antibodies from their mothers. The reason for the low incidence in school-age children may be that they have had previous rubella infections, but because the disease is mild and undiagnosed, they no longer have rubella antibodies in their bodies.
  1. Symptoms
  The symptoms of rubella are mild and may include runny nose, light cough, but lacrimation is rare, and there is often a low or moderate fever. Because of the mild symptoms before the rash appears, parents often come to the hospital only when they notice the rash appearing in their child. The rash appears early, starting 1-2 days after the disease and appearing within 24 hours, without batches. The rash starts behind the ears, on the neck, then on the chest and back, and is rarely seen on the extremities.
  The rash is mostly scattered red papules, occasionally fused into patches. The rash must fade in 2-3 days and does not leave hyperpigmentation. The total duration of the disease is about 1 week. On examination by the physician, the oral mucosa is clean and smooth, with no spots. The lymph nodes behind the ears are often enlarged. Rubella can also be complicated by encephalitis, but it is less common and also very mild, and there are no adverse consequences.
  2, home care points
  When a child gets rubella, there is no need to use antibiotics, but you can take Chinese medicines such as Banlangen and Shuanghuanglian. It is generally not necessary to be hospitalized and can be treated at home. Pay attention to skin cleanliness and hygiene, do not let children scratch, can avoid secondary skin infections. If the disease is mild, the appetite is normal, so there is no need to restrict the diet. If the fever is high, the child should be given more water. Even if the child is well, he/she should not be allowed to go to school or kindergarten because he/she can infect other children. The rash is usually not contagious after 5 days and can be released from isolation. After getting rubella once, it is rare to get it a second time. Rubella vaccine alone or mixed with other preventive preparations is now available and is being tried.
  (1) Rubella generally does not require special treatment, much less hospitalization, and can be treated at home. It is also relatively simple to care for a child with rubella, who should be isolated until 5 days after the rash appears, during which time he or she should not go to daycare, kindergarten, school, and as few public places as possible.
  (2) Open the windows and doors regularly to keep the air fresh and sunny. Pay attention to oral hygiene, brush teeth in the morning and evening, keep the child’s skin mucous membrane clean, if the weather is hot, you can use warm water to rub or bath, to prevent itching and scratching the skin caused by infection. But at this time the child’s resistance is weak, to prevent catching a cold.
  (3) Strengthen diet and nutrition, give the child more boiled water, eat more vegetables, try to eat some soy milk, rice porridge, egg custard, milk and other nutritious, easy to digest food. If you have high fever and headache, give antipyretic and analgesic; you can also use some heat-clearing and detoxifying herbs.
  In Chinese medicine, rubella belongs to the “wind and heat from the mouth and nose, and the blood and qi fight, the evil toxin outside, hair in the skin”, should dredge the wind, clear heat, detoxification, taking Pan Lan Gen, Yin Qiao detoxification granules, chrysanthemum tea, gold lotus tea, etc. can achieve therapeutic effects, without giving children to eat antibiotics or antiviral western medicine. Also pay attention to give your child more water, test the table regularly, keep the indoor air fresh and ventilated, also pay attention to keep warm and avoid wind and cold.
  Baby measles symptoms and care
  The measles is an acute respiratory infection caused by the measles virus, which can develop in all seasons, but is more common in late winter and early spring. infants within 6 months of age are generally less likely to develop the disease because of passive immunity acquired through the mother. After a single case of measles, they are automatically immune and do not get sick again.
  The excretions of the patient’s mouth, nose and eye mucous membranes contain pathogens that can be transmitted to others through respiratory droplets for 5 days before and after the onset of the rash. Symptoms resemble a bad cold, with fever up to 39°C.
  Inflammation of the eyes, red papules on the skin and gray-white pinpoint-like spots on the buccal mucosa, a hemorrhagic rash can be seen when symptoms are severe, combined with mucosal hemorrhage and pneumonia, when the blood circulation failure rash can not be permeable, or even recede, can be life-threatening.
  1, the difference between pediatric measles and acute rash and prevention.
  Pediatric measles and pediatric emergency rash are two different diseases. It is important to note the difference between them and effective prevention to control their spread.
  Pediatric measles is one of the most common acute respiratory infections in children, and it is highly contagious, with the highest incidence in children aged 1 to 5 years. It is most common in the spring and winter months. The disease begins with a mild rise in body temperature. 2 to 4 days for the rash to appear. The temperature at this point reaches 40 degrees or more.
  Pediatric emergency rash is a sudden rash caused by a viral infection that can occur throughout the year, with spring and fall being the most common seasons. It is common in babies from 6 months to about 1 year of age.
  The incubation period for toddler rash is about 10 to 15 days. The onset of the disease is sudden, with a high fever of 39-40 degrees, febrile convulsions may occur, and the rash appears within 9 to 12 hours after the fever subsides. Symptoms such as cough, swollen lymph nodes in the neck, and earache may also occur. Although it is a contagious disease, it is safe and not as widely contagious as measles.
  Measles can be prevented in much the same way as emergency rash. In addition to living a regular life, getting plenty of sleep, and keeping warm to prevent colds. It is also important to keep the windows open and the air inside the house fresh. Keep exercising and increase outdoor activities, because exercise not only promotes blood circulation and strengthens the heart and lungs, but also helps to improve your baby’s resistance. Also try not to take your child to public places to prevent infection. Also go to the hospital regularly for vaccinations.
  2, the care of pediatric measles
  (1) The room should be quiet, ventilated, keep the air fresh, soft light, avoid direct sunlight on the eyes of the child. The room temperature should not be too high, not too much clothing, so that the child does not sweat a lot, which can easily cause dehydration. And after sweating, it is easy to catch a cold, which is not conducive to measles transmission and complications of pneumonia.
  (2) Diet should be light, liquid or semi-liquid with high calories and vitamins. Eat less and more meals. Do not enter the food store greasy fishy food. Feed more boiled water. If you have indigestion, you can temporarily eat rice soup or skim milk. In the recovery period can be appropriate to eat more high-protein food to increase resistance.
  (3) Pay attention to skin, mucous membrane, oral cleanliness. Because of the eye secretions, so that the crust, so that the eye can not open, can be saline or 2% boric acid cleaning, 3 ~ 4 times a day, and then use gentamycin eye ointment applied to the eye face.
  As the secretions in the nasal cavity also increase, easy to crust blockage affect breathing, can be used cotton swabs dipped in paraffin oil to remove crust and secretions, and then coated with gentamycin eye ointment on both sides of the nasal cavity. To prevent stomatitis, slightly older children can gargle with saline, and infants can wipe their mouths with cotton swabs dipped in saline, twice a day.
  (4) closely observe the condition and the occurrence of complications. Generally, measles children with fever on the 3rd to 4th day of the rash, the first appeared behind the ears, hair and gradually face, neck, trunk, limbs, and finally in the hands and feet, 3-4 days out of all, rose-colored papules, varying in size, gradually increasing, may have different degrees of fusion, dark red, the rash can be seen between the normal skin.
  (5) If the rash suddenly recedes, or if the rash is complete without a decrease in fever, or if the cough is significantly worse, or if there is shortness of breath, nasal flapping, or hoarseness, or barking cough, or if there is coma or convulsions, or if there is pain in the ear shell or pus coming out of the ear cavity, the child should be considered to have bronchopneumonia, laryngitis, encephalitis, otitis media, or other complications, and should go to the hospital immediately for further treatment.