RASHES, LOCALIZED AND CAUSE UNKNOWN

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Shingles Rash on Right Flank

• The photo shows the typical rash of shingles (also called Herpes Zoster.
• There are multiple small blisters grouped together in one area of body (i.e., dermatomal distribution or "band" or "stripe"). It is unilateral, that is, it is present on only one side of the body.

Petechial Rash on Foot from Meningoccemia

• Meningococcemia is a life-threatening illness, that progresses rapidly.
• The photo shows a dark-reddish-purple spots on the top of the foot. These are referred to as petechiae.
• Petechiae are small red or purple spots that do not disappear when pressure is applied to the skin. For example, if you press a glass down on the spots, they do not disappear. You can still see them through the glass.

Widespread Rash from Rocky Mountain Spotted Fever

• Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain spotted fever.
• Rocky Mountain spotted fever is the most severe and most frequently reported rickettsial illness in the United States. The disease is caused by Rickettsia rickettsii, a species of bacteria that is spread to humans by ixodid (hard) ticks.

Sunburn-Like Rash from Toxic Shock Syndrome

• This bright red, sunburn-like rash is from Toxic Shock Syndrome. It usually begins after either wound infection, recent surgery, or tampon use.
• The symptoms of Toxic shock syndrome include a sudden onset of fever, chills, vomiting, diarrhea, muscle pains and rash. Hypotension (low blood pressure) also occurs.

Measles

• This child shows a classic day 4 rash with measles.
• Measles is an acute, highly contagious viral disease. Symptoms include fever, conjunctivitis (red eyes), runny nose, cough, and spots on the inside cheeks.
• A red blotchy rash appears around day 3 of the illness, first on the face, and then becoming generalized.

Measles

• This child with measles is showing the typical red blotchy rash on his buttocks and back during the 3rd day of the rash.
• Measles is an acute, highly contagious viral disease. Symptoms include fever, conjunctivitis (red eyes), runny nose, cough, and spots on the inside cheeks.
• A red blotchy rash appears around day 3 of the illness, first on the face, and then becoming generalized.

Face of Boy with Measles

• Third day of rash.
• Measles is an acute, highly contagious viral disease. Symptoms include fever, conjunctivitis (red eyes), runny nose, cough, and spots on the inside cheeks (inside of mouth).
• A red blotchy rash appears around day 3 of the illness, first on the face, and then becoming generalized.

Symptom Definition

• Rash on one part of the body (localized or clustered).
• Red or pink rash.
• Small spots, large spots or solid red.

Causes

• Main Cause: skin contact with some irritant.
• Other Common Causes:  8 rashes that you may be able to recognize are listed below.  If you suspect one of them, go there.  If not, use this guideline.

See More Appropriate Topic for a Non-Itchy Rash If

• NEWBORN RASHES.
• DIAPER RASH.  
• HAND-FOOT-MOUTH DISEASE.
• IMPETIGO (Infected Sores).

See More Appropriate Topic for an Itchy Rash If

• ATHLETE'S FOOT.
• INSECT BITE.    
• POISON IVY.
• RINGWORM.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Pediatric SelfCareNavigator. Copyright © 2000-2004 Barton Schmitt, M.D. FAAP

Reviewed 8/2004

Revised 8/2004

See Other Topics:

• Athlete's Foot
• Diaper Rash
• Hand-Foot-Mouth Disease
• Impetigo (Infected Sores)
• Insect Bite
• Newborn Rashes and Birthmarks
• Poison Ivy, Oak or Sumac
• Ringworm

View Anatomic Index of Topics