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Distinguish between different types of rashes in young children.
Many diseases can cause rashes in children, including measles, rubella, infantile rash, scarlet fever and chickenpox. For the rashes caused by these diseases, Chinese medicine commonly used in traditional Chinese medicine should be distinguished from the following aspects:
Systemic symptoms. Measles fever is high, cough and runny nose symptoms are more obvious, and there are more measles mucosal spots on the buccal mucosa before the rash; Rubella generally does not have a high fever, rarely cough, and swollen lymph nodes behind the ears and in the occipital region; Fever is higher in young children, and it will subside after 2-3 days; Scarlet fever begins with chills and fever, the throat is red, swollen and ulcerated, and a "bayberry" tongue appears; Chickenpox generally has mild symptoms and a low fever.
Time of onset of rash. The measles rash appears gradually, usually in about 3 days; Rubella rash appears quickly, usually within 24 hours; It does not appear until the fever of the infant has subsided, and it usually appears within 24 hours; The rash of scarlet fever appears quickly and spreads throughout the body within 24 hours; Chickenpox rashes appear in batches and last longer.
The rash is dark red with measles, pale red with rubella, rose with infantile eruption, bright red with scarlet fever, pale red at the beginning of chickenpox, and red around the base after forming a herpes rash.
Rash shape. The measles rash is slightly raised, with different shapes and sizes, first thin and then dense, and no itching; The rubella rash is small, sparse and uniform, and itchy; The rash in young children is more dense than rubella, and there is no itching. Scarlet fever rashes vary in size, from fine crumbs to flaky and dense without gaps; Chickenpox begins as a red rash the size of a grain of rice, followed by herpes, which are as large as peas, round or oval-shaped, and itchy.
Distribution of rashes.
Measles first on the back of the ears and neck, then on the forehead, then on the trunk and limbs, and on the hands and feet. Rubella consists of the face and trunk, and there is no rash on the hands and feet; The rash in young children consists of the neck, face, trunk, limbs, hands and feet, and there is no rash; Scarlet fever affects the neck, face, trunk, and limbs, and the whole body is difficult to distinguish health**, but there are pale circles around the lips; Chickenpox is distributed centripetally from the head, face, trunk, and limbs.
Hand, foot and mouth rash.
Herpes from hand, foot and mouth disease can also be easily confused with other small rashes. Generally, the herpes of hand, foot and mouth disease is only the size of a grain of rice at first, about 1 to 2 mm, bright red, usually appears in special parts such as palms, feet, oral mucosa and perianal area, if it takes a long time to become a vesicular rash, the rash will be transparent, there is water in it, but the rash will not become larger.
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Hello, infantile exanthema is caused by a viral infection, if the child has a fever for three days.
If the fever has subsided, rash may be considered in the emergency department of young children.
High fever for 3 or 4 days, body temperature between 39 and 40 degrees, rash quickly appears all over the body after the fever subsides, and the rash quickly subsides, there is no scaling, no pigmentation. These babies also have fever before the rash, the heat can be relatively high, but the cold symptoms are not obvious, the spirit, appetite, etc. are OK, the throat may be a little red, the lymph nodes in the neck and occipital can be palpated, but there is no tenderness, and there are no other symptoms and symptoms.
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What are the causes of rashes in children?
There are many diseases that cause rashes in children, and the causes are different, including: infectious diseases (such as infantile rash, rubella, scarlet fever, hand, foot and mouth disease, measles, etc.), allergic diseases, blood diseases, vitamin deficiencies, rheumatic immune diseases, etc. The common ** are as follows:
1. Infectious diseases.
1.Viral infections, including: measles, rubella, infantile exanthema, enterovirus, Epstein-Barr virus, cytomegalovirus, varicella virus, herpes simplex virus, etc.
2.Bacterial infections, including: scarlet fever, meningococcal meningitis, typhoid and paratyphoid, impetigo, etc.
3.Other infections include: leptospirosis, congenital syphilis, typhus, etc.
2. Allergic diseases.
1.Limitations: including infantile eczema, contact dermatitis, urticaria, angioedema, diaper rash, etc.
2.Systemic: Henoch-Schonlein purpura, drug eruption, papular urticaria, etc.
3. Blood diseases.
Including neonatal hemorrhage, hemophilia, thrombocytopenia, leukemia, etc.
4. Vitamin deficiencies.
Including niacin deficiency, vitamin C deficiency, vitamin A deficiency, vitamin B deficiency, etc.
5. Rheumatic immune diseases.
Including rheumatism, rheumatoid, systemic lupus erythematosus, polyarteritis nodosa, etc.
6. Diseases of unknown cause.
Including **mucosal lymphadenopathy syndrome (i.e., Kawasaki disease), congenital **anomalies, etc.
There are many children with rashes, and they should seek medical attention in time, and then respond accordingly** after clarifying**.
This content was reviewed by Zhao Lisi, Deputy Chief Physician of the Department of Pediatrics, East Hospital of Beijing University of Chinese Medicine.
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The rash is usually accompanied by fever, so it is recommended to wait until the fever has subsided before getting vaccinated, and it is okay to get vaccinated a few days later. Do not take any vaccinations if you have a fever.
Infantile eruption, also known as burn rash or roseola, is a sudden rash caused by a viral infection that can occur all year round, especially in spring and autumn. It is common in babies between 6 months and 1 year of age.
The incubation period for infantile exanthema is about 10-15 days. Although it is a contagious disease, it is safe and not as widespread as measles and chickenpox, and it is unlikely that any member of the family will suffer from it at the same time.
Symptoms: The baby first has a high fever that lasts for 3 or 4 days, the body temperature is between 39 and 40 degrees, and a rash quickly appears all over the body after the fever subsides, and the rash subsides quickly, there is no scaling, no pigmentation. These babies also have fever before the rash, the fever can be relatively high, but the cold symptoms are not obvious, spirit, appetite, etc. are OK (this is very similar to your baby), the throat may be a little red, the lymph nodes in the neck and occipital can be palpated, but there is no tenderness, and there are no other symptoms and symptoms.
When the body temperature is about to recede or has receded, the rose-red rash appears all over the body, in fact, the children's rash is nearing the end. Infant eruption has no effect on the baby's health, and it will be immunized for life after one occurrence.
Nursing: Let the child rest, the room should be quiet, the air should be fresh, and the quilt should not be too thick.
To keep the best clean and hygienic, often wipe off the sweat stains on the child's body to avoid catching a cold.
Give your child plenty of boiled water or juice to help sweat and urinate and promote the elimination of toxins. Eat a liquid or semi-liquid diet.
When the body temperature exceeds 39 degrees, warm water or 37% alcohol can be used to wipe the child's body to prevent the child from having convulsions caused by high fever.
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