What to do with infantile sudden rash

Written by Li Jiao Yan
Neonatology
Updated on September 14, 2024
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Infantile roseola is a common febrile rash disease in infants and young children, primarily caused by viral infections. The main typical symptoms are high fever, usually around 40 degrees Celsius, followed by a fever lasting three to five days. When the fever subsides, a rash appears simultaneously or afterwards, persisting for 2-3 days before gradually fading. Some children may also experience vomiting, diarrhea, or convulsions during high fever. Therefore, the treatment for infantile roseola is generally symptomatic. During high fever, physical cooling is applied, and appropriate antipyretics are used to prevent febrile convulsions. It is important to ensure adequate hydration and provide easily digestible food. Appropriate heat-clearing and detoxifying traditional Chinese medicines or patent medicines can also be given. If convulsions occur, it is urgent to seek medical attention, and doctors can administer suitable sedatives and antispasmodic medications based on the child's condition. Other symptoms, like vomiting and diarrhea, should be treated with appropriate antidiarrheals or digestive aids as needed, to help alleviate discomfort in the child.

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Written by Yao Li Qin
Pediatrics
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Do infants with sudden rash need to take medicine?

Childhood rash illness is a common pediatric acute fever caused by herpes simplex virus types 6 and 7, characterized by a high fever lasting three to four days, followed by the appearance of a rash after the fever subsides. The treatment mainly involves symptomatic management. When a child's body temperature exceeds 38.5°C, antipyretic medications such as acetaminophen and ibuprofen suspension can be administered. It is also important to ensure the child stays well-hydrated. Before the rash appears, it is not certain that it will occur. For most children who have been confirmed through a blood test to have a viral infection, antiviral medications might sometimes be administered. However, these medications ultimately do not shorten the duration of the illness. Once the child has been feverish for three days and the rash appears, no further medication is typically necessary; just ensure the child drinks plenty of fluids. The rash usually spreads within about two days and then quickly fades. (Please administer medication under the guidance of a professional physician.)

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Written by Yao Li Qin
Pediatrics
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How to determine baby rash?

Roseola infantum is a common acute exanthematous infectious disease in pediatrics, also known as baby roseola, caused by human herpesvirus types 6 and 7. To determine whether it is roseola, the main criteria are if the child is under two years old, especially infants aged 7 to 13 months, who exhibit a persistent high fever. During the fever, if the child’s fever subsides, they appear in good spirits and do not have other complications, then roseola should be highly suspected. In such cases, symptomatic treatment should be provided first, with a focus on hydration. If the temperature exceeds 38.5℃, give the child fever-reducing medication and continue to observe at home due to the persistent high fever, which lasts three to four days. Once the child’s temperature suddenly drops, carefully observe whether a rash appears on the trunk, neck, limbs, and facial area. If these symptoms are present, which match with the history of a high fever lasting three to four days followed by the appearance of a rash, the diagnosis is roseola infantum.

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Written by Yao Li Qin
Pediatrics
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Do babies with roseola fear water?

Roseola infantum is a common pediatric rash disease caused by a viral infection. The main symptoms are a persistent high fever lasting 3 to 4 days, followed by a sudden drop in body temperature and the appearance of a rash. Roseola is caused by a viral infection and is not aggravated by water exposure. During the fever period, if the body temperature is below 38.5°C, it is acceptable to use a warm towel to wipe the child's forehead, neck, armpits, and groin to physically reduce the temperature. At the same time, it is important to ensure that the child drinks plenty of fluids. There is no relationship between roseola and water, and during the period of continuous high fever, it is crucial to keep the child hydrated, as a high fever causes significant fluid loss. Moreover, if the child does not receive adequate fluids, the fever may be difficult to reduce, which is an important point to note. Parents should understand that roseola is not exacerbated by exposure to water.

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Written by Yan Xin Liang
Pediatrics
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Can children with roseola go outside?

Roseola infantum, also known as exanthema subitum, is caused by human herpesvirus type 6 or type 7. It is an acute febrile infectious disease that evolves over time. The fever may last three to five days. It's important to keep warm, especially in winter, as failure to do so can worsen the child's condition. However, going out is generally fine as long as proper precautions are taken to avoid aggravating the child's illness. Still, it is crucial to intensify care, maintain a light diet, and provide a quiet and comfortable environment for the child, all of which are beneficial for recovery.

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Written by Yan Xin Liang
Pediatrics
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How to deal with baby roseola

For the nursing methods of infantile sudden rash, it is important to note that first, the child should drink more water to replenish sufficient fluids. The initial symptom of infantile sudden rash is fever, but too high a body temperature can cause excessive loss of water in the baby, and drinking more water not only replenishes fluids but also helps to reduce fever, Secondly, physical cooling should be used. During periods of high fever, physical cooling methods such as using cold packs or warm water baths should be employed to help reduce the child's body temperature while maintaining cleanliness and hygiene, During the child's visit to the clinic, it is necessary to keep the indoor environment ventilated and clean, bathe the baby in a timely manner, and keeping the skin fresh is also beneficial for eliminating toxins. Additionally, a healthy diet is crucial during the emergency period; although the baby might not show abnormalities, attention must be paid to the diet, especially for breastfed babies, where the mother herself must ensure a healthy and nutritious diet.