[36F] Reports toddler with sudden onset rash and pain

Patient Description

A 36-year-old female reports that her toddler has developed a sudden onset of red, wet bumps behind the right ear and along the hairline. The rash appeared one day ago and is associated with pain upon touch, rated as a 5 on a scale of 1-10. The toddler was recently exposed to new foods, specifically gumbo, and a new hair detangler product. There is no known history of allergies to foods or ingredients. The toddler has had a recent cold but no fever since the rash appeared. The rash has a little pus and slight swelling but no itching or scratching. The rash appeared shortly after using the new hair detangler. No previous reactions to hair products or other skin products have been noted.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your toddler's symptoms:

  • Contact Dermatitis: This is a common skin reaction that occurs when the skin comes into contact with an irritant or allergen. Given that the rash appeared suddenly after using a new detangler, this could be a likely cause. Contact dermatitis often presents as red, itchy, and sometimes wet or pus-filled bumps.

    • Treatment: The primary treatment involves identifying and avoiding the irritant or allergen. Over-the-counter hydrocortisone cream can help reduce inflammation and itching. If the rash is severe, a doctor may prescribe a stronger topical steroid.
  • Allergic Reaction: Although your toddler has no known allergies, it's possible to develop an allergy to a new food or product. The rash and pain could be a mild allergic reaction to the gumbo or the new detangler.

    • Treatment: Antihistamines like Benadryl can help alleviate allergic reactions. However, it's important to consult a doctor before giving any medication to a toddler.
  • Impetigo: This is a bacterial skin infection that often starts as red sores or blisters that can ooze and form a yellow-brown crust. The presence of pus and the sudden onset could suggest this condition.

    • Treatment: Impetigo is usually treated with antibiotic ointments or oral antibiotics prescribed by a doctor.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stop Using the New Detangler: Discontinue use of the new hair product to see if the rash improves.
  2. Clean the Affected Area: Gently clean the rash with mild soap and water to prevent infection.
  3. Apply a Cool Compress: This can help reduce pain and swelling.
  4. Use Over-the-Counter Creams: Hydrocortisone cream can help with inflammation, and antibiotic ointments like Neosporin can help prevent infection.
  5. Monitor for Changes: Keep an eye on the rash to see if it spreads or worsens.
  6. Journal Symptoms: Use MDandMe to journal your toddler's symptoms, track progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

  • The rash spreads rapidly or becomes more severe.
  • Your toddler develops a fever or other signs of infection.
  • The rash does not improve with home treatment.
  • Your toddler shows signs of distress or discomfort.

Remember, while this advice can help manage symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

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People Also Ask


What is contact dermatitis and how can it be treated in toddlers?

Contact dermatitis is a skin reaction that occurs when the skin comes into contact with an irritant or allergen. In toddlers, it can be treated by identifying and avoiding the irritant, using over-the-counter hydrocortisone cream to reduce inflammation, and consulting a doctor if the rash is severe.


Can a toddler develop an allergy to a new food or product even if they have no known allergies?

Yes, a toddler can develop an allergy to a new food or product even if they have no known allergies. Allergic reactions can occur at any time, and symptoms may include rashes, swelling, or other skin changes.


What are the symptoms and treatment options for impetigo in children?

Impetigo is a bacterial skin infection characterized by red sores or blisters that can ooze and form a yellow-brown crust. Treatment typically involves antibiotic ointments or oral antibiotics prescribed by a doctor.


What steps should be taken if a rash does not improve with home treatment?

If a rash does not improve with home treatment, it is important to seek medical attention. A healthcare professional can provide a formal diagnosis and appropriate treatment, especially if the rash spreads, becomes more severe, or if the child develops a fever or other signs of infection.


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