Signs of Infection
If the rash shows signs of infection such as increasing pain, warmth, redness, and swelling, it is important to seek medical attention promptly. Infections can worsen quickly and may require antibiotics for treatment.
Fever and Systemic Symptoms

If you develop a rash along with a fever, body aches, fatigue, or other systemic symptoms, it could be a sign of a more serious illness. Contact your healthcare provider immediately for further evaluation and treatment.
Sudden Onset and Spreading
If the rash appears suddenly and starts spreading rapidly, especially if it is accompanied by blistering or oozing, it could be a sign of a severe allergic reaction or a contagious skin condition. Seek medical help as soon as possible to prevent complications.
History of Severe Allergic Reactions
If you have a history of severe allergic reactions or anaphylaxis, and you develop a rash, it is important to seek medical attention promptly. Severe allergic reactions can be life-threatening and require immediate treatment.
Remember, it is always better to err on the side of caution when dealing with skin irritations. If you are unsure about the severity of a rash or if it is causing significant discomfort, do not hesitate to seek medical advice.
Tips for Managing Children’s Skin Irritations
Here are some additional tips for managing your child’s skin irritations:
- Keep the affected area clean and dry to prevent further irritation.
- Avoid using harsh soaps or lotions that may aggravate the rash.
- Dress your child in loose, comfortable clothing made from soft fabrics.
- Apply a gentle moisturizer or soothing cream to help relieve itching and discomfort.
- Avoid scratching or rubbing the rash, as this can lead to infection.
- If the rash is located in an area that is frequently irritated by clothing or movement, consider using a barrier ointment or dressing to protect the skin.
Remember, if you have any concerns about your child’s rash or if it is not improving with home care, it is always best to seek advice from a healthcare professional.
Accessing Emergency Care at Wesley
Advance Emergency Check-In
Utilize the free Wesley mobile app for Apple iPhones and Android Phones to expedite check-in to the emergency room. Information on average wait times is available to assist in planning your visit.
Emergency Room Wait Times
Emergency room wait times are approximate and based on a four-hour rolling average. In case of a medical emergency, dial 911 immediately.
Facilities aim to provide care promptly, with a national average wait time of one hour. Wesley’s emergency department strives to beat this average.
Ready Care Services
Wesley’s emergency department offers Ready Care services for minor emergencies, managed by qualified providers in emergency medicine. In case of a medical emergency, dial 911 or seek immediate medical attention.
Identifying and Treating Different Types of Rashes
When a rash suddenly appears on your child’s skin, closely monitor it at home. Know when to observe, wait, or seek medical help for your child’s rash.
Rashes can be caused by a variety of factors, including allergic reactions, infections, or skin conditions. It is important to identify the type of rash your child has in order to provide the appropriate treatment. Some common types of rashes include:
- Heat rash: This type of rash occurs when sweat ducts become blocked, leading to small, red bumps or blisters on the skin.
- Eczema: Eczema is a chronic skin condition that results in dry, itchy patches on the skin.
- Allergic reaction: Rashes caused by allergic reactions can vary in appearance and may be accompanied by other symptoms such as itching, swelling, or hives.
- Impetigo: This contagious skin infection can cause red sores or blisters that fill with pus.
If your child develops a rash, it is important to keep the affected area clean and dry. Avoid scratching the rash, as this can lead to further irritation and potential infection. In some cases, over-the-counter creams or ointments may help alleviate symptoms, but if the rash persists or worsens, it is best to consult a healthcare provider for a proper diagnosis and treatment plan.
Common Types of Rashes
Itchy red welts that change location could indicate hives, which may be caused by allergies to foods or environmental factors. Most cases of hives can be managed at home with over-the-counter antihistamines.
Contact Allergy Rashes
Rashes from contact allergies occur due to skin exposure to irritating substances. These substances can include anything from cosmetics and soaps to plants like poison ivy or metals like nickel. Symptoms of contact allergy rashes can include redness, itching, swelling, and blisters.
To identify the trigger of your contact allergy rash, consider any recent exposure to new products or substances. Once you have identified the trigger, it is important to avoid further contact with the irritating substance to prevent future flare-ups.
For relief from contact allergy rashes, over-the-counter ointments such as hydrocortisone cream or calamine lotion can help soothe itching and inflammation. In some cases, antihistamines may also be recommended to reduce symptoms.
If your rash persists or worsens, it is important to seek medical advice. A healthcare professional can provide proper diagnosis and recommend treatment options, such as prescription medications or allergy testing.
Impetigo
Impetigo, a common and highly contagious bacterial skin infection, typically presents itself as red sores or blisters on the face, hands, and sometimes other parts of the body. It is most common in children, but adults can also be affected. Impetigo is usually caused by Staphylococcus aureus or Streptococcus pyogenes bacteria.
Topical antibiotics are often successful in treating mild cases of impetigo. However, in more severe cases where the rash spreads rapidly or is accompanied by fever, it is important to seek medical attention promptly. In some cases, oral antibiotics may be necessary.
Good hygiene practices, such as regularly washing hands and keeping wounds clean and covered, can help prevent impetigo. Avoiding contact with someone who has impetigo and not sharing personal items, such as towels or razors, can also reduce the risk of infection.
Allergic Reactions to Medication
Rashes from allergic reactions to medication require medical evaluation, especially if they affect large areas or involve sensitive areas like the lips or eyes.
Contagious Viral Infections
Isolate a child with a rash from contagious viral infections. Over-the-counter treatments can alleviate itchiness.
If a rash is accompanied by a high fever in a child, consult a doctor promptly. Certain conditions with rash as a symptom can be contagious, so follow precautions during the appointment. Molluscum contagiosum, a viral skin infection, may persist for months to years, characterized by flesh-colored bumps with a dimple in dry or eczema-prone areas of the skin.
Treatment: Promptly consult a doctor if you notice a rash in newborns or young babies to prevent complications like meningitis or encephalitis.
Causes of Purpura or Petechiae Rash

- Viral or bacterial infections
- Medications
- Platelet disorder
- Vasculitis
- Trauma or injury
- Blood disorders or cancer
Rashes resembling purpura or petechiae present as reddish-purple splotches under the skin. Petechiae do not fade under pressure and can indicate infections like meningitis or low platelet levels.
Childhood Lupus Rash
Lupus, an autoimmune disease affecting connective tissue, can cause a rash in children characterized by red patches on the cheeks and nose, known as a “butterfly rash.”
According to King, “Children with lupus may experience fatigue, joint pain, or weight loss in addition to the rash.”
Treatment: Treatment for lupus rash varies depending on severity and type, potentially involving corticosteroids, creams, or moisturizers.
Understanding Hives
Hives are itchy, raised pink or red bumps on the skin that can shift quickly to other areas. Not all skin reactions are allergy-related and can be caused by various irritants like lotions, perfumes, or detergents.
Although hives are often linked to allergies, they can also result from medications, temperature changes, sunlight exposure, or viral infections. Severe reactions may lead to breathing difficulties, swelling, vomiting, or diarrhea, requiring immediate medical attention.
Mild cases of hives without severe symptoms can be monitored at home safely.
Management of Childhood Rashes
Most childhood rashes resolve on their own without treatment, and observation is preferred over immediate medication use. While home remedies are not always recommended, gentle products like Aquaphor or Vaseline may provide relief.
Specific treatments depend on individual symptoms and underlying causes, such as anti-itch medication for itchy rashes or antibiotics for infectious ones.
When to Seek Medical Attention
Any concerning symptoms accompanying a rash should prompt a doctor’s evaluation, especially if there are fever, pain, swelling, breathing difficulties, or rapid rash spread. Parents should promptly seek medical advice if their child’s rash exhibits unusual symptoms or appearance.