* Rash over large areas or most of the body (widespread or generalized)
* Occasionally just on hands, feet, and buttocks—but both sides of body
* Red or pink rash
* Small spots, large spots, or solid red skin
Main Cause: A 2- or 3-day rash occurring with a viral illness. Viral rashes usually have symmetrical pink spots on the trunk.
Return to School:
* Most viral rashes are no longer contagious once the fever is gone.
* For minor rashes, your child can return to child care or school after the FEVER is gone.
* For major rashes, your child can return to child care or school after the RASH is gone or your doctor says it’s safe to return with the rash.
* Purple or blood-colored rash with fever
* Sudden onset of rash (within 2 hours) AND also has difficulty with breathing or swallowing
* 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 rash WITHOUT fever
* Bright red skin that peels off in sheets
* Large blisters on skin
* Bloody crusts on lips
* Taken a prescription medication within the last 3 days
* Menstruating and using tampons
Call Your Doctor Within 24 Hours (Between 9:00 am and 4:00 pm) If:
* Widespread rash but none of the symptoms described herein (Reason: needs a diagnosis)
1. For Non-Itchy Rashes: No treatment is necessary except for heat rashes, which respond to cool baths.
2. For Itchy Rashes
* Wash the skin once with soap to remove irritants.
* Then give your child cool baths without any soap 4 times per day for 10 minutes whenever the itch is uncomfortable (CAUTION: Avoid any chill).
* Follow with calamine lotion or a baking soda solution (1 teaspoon in 4 oz of water or 5 mL in 120 mL of water).
3. Fever Medicine: For fever above 102°F (39°C), give acetaminophen (eg, Tylenol) or ibuprofen (eg, Advil)
• If your child has a fever, avoid contact with other children and especially pregnant women until a diagnosis is made.
* Most viral rashes are contagious (especially if a fever is present).
* Your child can return to child care or school after the rash is gone or your doctor says it’s safe to return with the rash.
5. Expected Course: Most viral rashes disappear within 48 hours.
6. Call Your Doctor if 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