Patient: daughter 6 years old, two months ago got myocarditis, in early September fever, about ten days of IV, mainly sposulbactam, aqi, a few days ago also played the virus azole and so on, in the fight for seven days or so found on the hands of the small dots, in the back of the hand, quite a lot of, very small, colorless, not itchy, at that time thought it was a tape allergy didn’t care, because of her daughter’s infusion of seepage is very serious, and then think it may be a drug rash, stopping the medication! After, the small dots slowly growing, into small bumps, seven or eight days later, large to half the size of a sesame seed, began to be a little red, but still does not itch, touch is relatively hard, very rough feeling, the number of obviously increased, the scope is expanding, from the back of the hand has developed to the back of the fingers, wrist, the back of the feet, elbows, knees, small arms, small legs, fingers, the front of the hand, the palm of the hand, and is now slowly spreading to the torso. Now it has been more than twenty days, the pimples grow bigger and bigger, some pimples on the back of the hand are connected into a piece, the oldest some of the surface of the skin, there is no water and pus inside the pimples, it is hard, like the keratinized look is very rough, the color is sometimes reddish, sometimes darker than the skin color, some old pimples in the middle of the brown dots, the new dots are still continuing to come out, but the development of a slower. Saw a few sick students, some say allergies, some say microbes, some say viruses, prescribed medicines are not too obvious effect, no significant improvement, but basically can be ruled out drug rashes, because stopped taking medicines for twenty days Please help to confirm what is the disease, how to treat, please, thank you! The photos are October 6, 8 (white is coated with glycerite lotion), the new did not take pictures, to be more serious, tomorrow shot and then pass you, please give you a diagnosis, thank you, myocarditis is not yet well, and then got this disease, really anxious. Patient: this morning shot, compared with the 6th obviously aggravated, feel the earliest joints, and more intensive, larger pimples are the earliest, and then grow smaller. Patient: right, recently my daughter said a little itchy, but not serious, wake up in the morning or usually feel itchy occasionally, itchy are those who grow dense, early growth out of the part. Patient: some of the earliest began to fade, Patient: Xu Taifu how not yet come up ah, there are experts suggested to consider pediatric papulopapular telangiectasia, I looked up on the Internet, I think it’s very similar, and last week and big last week’s blood test (due to myocarditis) daughter’s liver function is impaired, glutamic oxalate glutamate is high, but the daughter has received the Hepatitis B vaccine, and there are antibodies, can we be sure that it’s a pediatric papulopapular telangiectasia? The ones on the hands are smaller in the past few days, itchy when the skin first retreated, and started to be lighter yesterday. However, there are some new ones on the side of the abdomen and the neck, which are rather small and slow to increase in size, not red. I’m going to pass on the labs for reference. Trouble you Qingdao City Center Hospital Dermatology Xu Bing: my opinion is also pediatric papular extremity dermatitis Patient: thank you very much! May I ask if I need to do another lab test for hepatitis B virus? If it is not hepatitis B virus, what else could it be? What kind of tests do I need to do? Is it appropriate to use Maelu Anti-Acne Cream and Acivelo Cream externally, and take Qingkailing Granules, Ribavirin Tablets, Keratan Oral Liquid, and Chlorpheniramine Maleate internally? In addition, in recent days, the torso also grew a lot, basically all over the long, relatively small, has not grown, previously prescribed drugs ate up, stopped for two days, today found in the size of the arm and grew very much very small pimples, basically full of long, really anxious, is not the treatment of the right ah, in addition, because there is also the use of drugs to treat cardiomyositis, so many drugs will be on the body have harmed? Qingdao City Center Hospital Dermatology Xu Bing: How is the situation? Recently busy no Internet! Patient: the situation is still not good, now the whole body’s sweat pores are like goose bumps (neck that photo is more obvious), the previous kind of pimples grow more, limbs basically up all over the hand peeling is very serious, sleep at night some itchy, a week ago, the anus began to itch, some intolerable, anus of the folds of the swollen, but not red, water washing does not see the light, vaginal also have, very red, the day before yesterday from the anus and vagina There are a lot of red bumps around the anus and vagina, like pimples, some have small white spots on top, some don’t, some on the corners of the mouth five days ago, and now there are seven or eight red bumps on the face and neck, and there are a few on the hands this morning, and they don’t itch. These red bumps and the previous bumps is very different, rise very quickly, from the corners of the mouth, the pubic area to the periphery of the spread very quickly, the head is large, the color from the beginning is red, and now the daughter’s vagina and anus from time to time strange itch. In addition, on October 30th, I went to the provincial hospital to have my heart and liver tests done, and the liver tests were normal except for the high alkaline phosphatase (183 last time and 182 this time). The specialist at the provincial hospital said that it looked like erythematous chaff rash, but there was no hair on my daughter’s hair, and although there were pimples on her pores, they were still relatively small and not very thick to the touch, and no hair was seen in the middle of the pimple area. Another expert also said it looks like pediatric papular telangiectasia. Now stop the kairatan, continue to use the tonic and min, containing ribavirin, oral VC, compound VB, compound glycyrrhizin tablets, Qingkailing, topical danpi phenol soft vertigo, acyclovir soft vertigo, erythromycin soft vertigo. Myocarditis is still not cured, and the skin problem is still complicating the situation, I am really anxious. May I ask Dr. Xu, is the new red bumps an infection and should I treat it as a matter of urgency? Is it dangerous to go on like this? Do we need to go to Qingdao to see you? I feel that the situation is getting worse and worse, very anxious, and would like to communicate with you in a timely manner, can you give me a contact information, I will not bother you too much, thank you! My phone is 13325076001, QQ: 6598006 Qingdao City Center Hospital Dermatology Xu Bing: The disease has been understood, I think the skin lesions before in the improvement, peeling is the manifestation of the process of regression, pediatric papulopapular dermatitis treatment mainly lies in the primary disease, with the improvement of the primary disease, the skin damage will gradually get better, pay attention to the skin lesions to prevent infections and stop itching! Patient: thank you, so far, I do not understand what exactly is a viral infection, now the main treatment of myocarditis and anti-allergy, you judge what the primary disease will be, what should be done to check? Do I need to check the Hepatitis B 5 test again in a while? Another: these red bumps with pus spots, today in the local dermatology department, think it is infected eczema, prescribed Chinese medicine to wash, and ofloxacin gel topical, oral Lijunsha, this is okay, do I need to use other? What methods or medications are generally used to prevent and treat skin infections? Qingdao City Center Hospital, Department of Dermatology, Xu Bing: the original disease should be a viral infection, whether it is related to the virus that causes myocarditis is not good to say, Hepatitis B five can be checked again, small pustules can be externally coated with Baiduobang! Patient: Thank you very much! Tomorrow to buy Bactroban. These red bumps with pus spots, today in the local dermatology department, think it is infected eczema, prescribed Chinese medicine to wash, and ofloxacin gel topical, oral amoxicillin, plus Bactroban topical, so can it Preventing and treating skin infections What is the best way to prevent and treat skin infections? I’m using topical dandeolone to stop the itching, is there anything else I can do? Qingdao City Center Hospital Dermatology Xu Bing: I also agree with the local doctor’s opinion! Patient: Thank you! These red bumps with pus spots have subsided significantly, the pubic area is not red and itchy, only occasionally a new one, but applying the medicine will soon be fine; pimples on the hands, feet, elbows, legs are beginning to peel or subside, only the trunk of the no obvious changes, in addition to the face was not in the past, and now the new rise of a number of dense and more tiny, usually do not pay attention to not see it out, only visible to the light to see the obvious. May I ask Dr. Xu, how long do you think it will take for these to heal? As of today, it has been the seventh week since the onset of the disease. Dr. Xu Bing, Dermatology, Qingdao Central Hospital: Are they the same as the first lesions? Can you upload a photo? Patient: I haven’t been up here for a long time, and now my daughter’s disease has healed (at the end of November), consistent with your judgment, thank you very much!