* Rash on one small part of the body (localized or clustered)
* Red or pink rash
* Small spots, large spots, or solid red
* Includes localized areas of redness or skin irritation
Main Cause: Skin contact with some irritant
Return to School
* Children with localized rashes do not need to miss any child care or school.
Not moving or too weak to stand
Call Your Doctor Now (or in Alberta, Canada call 780-408-LINK)) If:
* Your child looks or acts very sick
* Purple or blood-colored spots or dots that are not from injury or friction
* Bright red area or red streak (but not sunburn)
* Rash area is very painful
* Child is younger than 1 month and tiny water blisters (like chickenpox)
Call Your Doctor Within 24 Hours (Between 9:00 am and 4:00 pm) If:
* You think your child needs to be seen
* Severe itching or fever is present
* Looks like a boil, infected sore, or other infected rash
* Teenager with genital area rash
* Lyme disease suspected (bull’s-eye rash, tick bite or exposure)
Call Your Doctor During Weekday Office Hours If:
* You have other questions or concerns
* Blisters unexplained (EXCEPTION: poison ivy)
* Pimples (apply antibiotic ointment until seen)
• Peeling Fingers
* Rash lasts longer than 7 days
Parent Care at Home If: Mild localized rash and you don’t think your child needs to be seen
1. Reassurance: New localized rashes are usually caused by skin contact with an irritating substance.
2. Avoid the Cause
* Try to find the cause
* Consider irritants like a plant (eg, poison ivy), chemicals (eg, solvents, insecticides), fiberglass, detergents, a new cosmetic, or new jewelry (eg, nickel).
* A pet may be the intermediary (eg, with poison ivy or oak) or your child may react directly to pet saliva.
3. Avoid Soap: Wash the area once thoroughly with soap to remove any remaining irritants. Thereafter avoid soaps to this area. Cleanse the area when needed with warm water.
4. Local Cold: Apply a cold, wet washcloth or soak in cold water for 20 minutes every 3 to 4 hours to reduce itching or pain.
5. Steroid Cream: If the itch is more than mild, apply 0.5% hydrocortisone cream (no prescription needed) 4 times per day (EXCEPTION: suspected ringworm).
6. Avoid Scratching: Encourage your child not to scratch. Cut the fingernails short.
7. Contagiousness: Children with localized rashes do not need to miss any child care or school.
8. Expected Course: Most of these rashes pass in 2 to 3 days.
9. Call Your Doctor If:
* Rash spreads or becomes worse
* Rash lasts more than 1 week
* Your child becomes worse
Based on recommendations/advice in “My Child is Sick; Expert Advice for Managing Common Illnesses and Injuries”, 14th Edition, by Barton D. Schmitt