Rash (cont.)

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Widely distributed rashes affecting large portions of the skin

Outbreaks of this sort are usually either viral or allergic.

Viral rash: While viral infections of the skin itself, like herpes or shingles (a cousin of chickenpox), are mostly localized to one part of the body, viral rashes are more often symmetrical and everywhere. Patients with such rashes may or may not have other viral symptoms like coughing, sneezing, or stomach upset (nausea). Viral rashes usually last a few days to a week and go way on their own. Treatment is directed at relief of itch, if there is any.

Other rashes

Hives or "welts" (urticaria) are itchy, red bumps that come and go rapidly over six to eight hours on various parts of the body. Most hives run their course and disappear as mysteriously as they came. Heat rash is a skin irritation caused by excessive sweating during hot, humid weather. It can occur at any age but is most common in young children. Heat rash looks like a red cluster of pimples or small blisters. It is more likely to occur on the neck and upper chest, in the groin, under the breasts, and in elbow creases.

What is the treatment for a rash?

Most rashes are not dangerous to a person or people in the vicinity (unless they are part of an infectious disease such as chickenpox). Many rashes last a while and get better on their own. It is therefore not unreasonable to treat symptoms like itchy and/or dry skin for a few days to see whether the condition gets milder and goes away.

Nonprescription (over-the-counter) remedies include

  • anti-itch creams containing camphor, menthol, pramoxine (Itch-X, Sarna Sensitive), or diphenhydramine (Benadryl);


  • antihistamines like diphenhydramine, chlorpheniramine (Chlor-Trimeton), or loratadine (Claritin, Claritin RediTabs, Alavert); and cetirizine (Zyrtec);


  • moisturizing lotions.

If these measures do not help, or if the rash persists or becomes more widespread, a consultation with a general physician or dermatologist is advisable.

There are many, many other types of rashes that we have not covered in this article. So, it is especially important, if you have any questions about the cause or treatment of a rash, to contact your doctor. This article, as the title indicates, is just an introduction to common skin rashes.

A word on smallpox vaccination in patients with rashes

People with atopic dermatitis or eczema should not be vaccinated against smallpox, whether or not the condition is active. Patients with atopic dermatitis are more susceptible to having the virus spread on their skin, which can lead to a serious, even life-threatening condition called eczema vaccinatum. In the case of other rashes, the risk of complications is much less. Consult your doctor about the smallpox vaccine.

Previous contributing editor:

Medical Editor: Frederick Hecht, MD

REFERENCE:

Bolognia, Jean L., Joseph L. Jorizzo, and Ronald P. Rapini. Dermatology. 2nd ed. Spain: Mosby, 2008.


Reviewed by William C. Shiel Jr., MD, FACP, FACR on 2/7/2013

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