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Abstract: A 2-year-old child had a cold and fever a few days ago and was diagnosed with an upper respiratory tract infection. After a few days of medication, the symptoms subsided, but a rash appeared on the body, which was thought to be an allergy caused by the medication, so he was seen in the dermatology department. After examination, the rash was diagnosed as an early childhood emergency rash, a common type of viral rash, not caused by drug allergy. The rash subsided after 5 days and the appetite gradually returned.
Basic information】Male, 2 years old
Disease Type】Emergency rash
Hospital】Maanshan Seventeenye Hospital
Time】June 2022
The treatment plan】No need to use drugs, life conditioning can be (appropriate drink warm water, eat less and more meals, light diet)
[Treatment Period]: Reviewed in clinic after 5 days of home life conditioning
Treatment effect】Rash subsided, appetite gradually restored
I. Initial consultation
Ms. Wang came to the clinic with her child in her arms and asked anxiously if the rash was a drug allergy. After giving medication, the fever subsided, but after the fever subsided, a large diffuse rash appeared on the head, face and trunk, which Ms. Wang thought was due to drug allergy and was very worried. The examination found that the child had a large dark red rose rash on the face and trunk, and the blood test showed that the percentage of monocytes was elevated and the white blood cells were reduced.
II. Treatment history
After the child was diagnosed with E.E.R., the child and parents were reassured not to worry too much. The rash is characterized by the withdrawal of fever and rash, which can be interpreted as a sign of the end of the disease and the recovery phase of the disease. Since the child does not have fever or poor mental status, there is no need for medication. It is only necessary to drink warm water, eat less and more often, eat a light diet, pay attention to reassuring the child and wait patiently for the disease to recover.
Treatment effect
After returning home, the child’s appetite was still poor for the first two days, he drank less milk and was prone to crying and irritation, but the parents gave the child more meals and warm water as the doctor said.
IV. Precautions
As a doctor, we are very happy that the child recovered completely after life conditioning and careful care. It is recommended that parents continue to give their children life conditioning for a period of time, paying attention to small meals, light diet and appropriate water intake. Parents should be patient and soothe the child, and keep him/her warm until he/she is completely cured. It is recommended to stay away from kindergarten and avoid contact with other children for the time being. If the child develops fever, cough and poor mental status during home observation, he/she should come to the hospital promptly.
V. Personal insight
The rash is usually caused by a viral infection and is a symptom and manifestation of the disease, not a drug allergy, and usually the rash will recover in 3-5 days when the fever subsides. However, parents need to observe their children, if there is fever, cough, poor mental state, etc., promptly come to the hospital for symptomatic treatment.