How to care for toddler's sudden rash in winter?

Written by Li Jiao Yan
Neonatology
Updated on September 18, 2024
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Roseola infantum, also known as baby roseola, is a common acute febrile rash skin disease in infants and toddlers. It is characterized by sudden fever in children under three years old that lasts for 3-5 days, followed by a sudden drop in temperature and the appearance of rosy-pink maculopapular rashes. Typically, there is no apparent cause for roseola, with sudden high fevers reaching about 39 to 40 degrees Celsius, lasting for 3-5 days, after which the fever drops suddenly, and then rashes appear as the temperature falls.

In winter, if a child contracts roseola, it is particularly important to pay attention during periods of high fever. Make sure the child does not wear too much clothing. Overdressing or wrapping the child too tightly during a fever can lead to overheating syndrome, which, in severe cases, could be accompanied by damage to other organs. Additionally, if the child sweats during the fever, clothing should be changed promptly to prevent catching cold.

Furthermore, avoid exposing the child to drafts. If the child experiences wind chill during a feverish sweat, it makes them more susceptible to other infections, like upper respiratory infections or potentially pneumonia. Therefore, during winter, when children exhibit high fevers from roseola, close monitoring of their body temperature is essential, as well as avoiding overheating syndrome. Close observation of the child's mental state is crucial if they exhibit high fever. If their mental condition worsens or if they show signs of convulsions, medical attention should be sought immediately.

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Written by Li Jiao Yan
Neonatology
1min 3sec home-news-image

What should I do about baby rash?

Roseola infantum, also known as baby rose rash, is an acute contagious disease in children caused by viral infection. The characteristics of the disease include a sudden onset, with an initial fever lasting 3 to 5 days, followed by a rash after the fever subsides, usually resolving on its own. Roseola infantum is a self-limiting disease with a duration of about one week. Treatment does not shorten the recovery time but can help alleviate uncomfortable symptoms. Treatment measures include: 1. Rest and hydration – Encourage the child to rest and drink plenty of fluids. If the child is very uncomfortable or refuses to drink, hospital treatment may be necessary. 2. Fever management – If the child is very uncomfortable due to high fever, fever-reducing medication can be taken under a doctor's guidance, according to the child's weight.

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Written by Li Jiao Yan
Neonatology
1min 22sec home-news-image

Do infants with roseola feel itchy?

Toddler rash, also known as roseola infantum, is a common acute febrile rash skin disease in infants and young children. It is characterized by a sudden drop in body temperature after high fever for 3-5 days in infants and young children under three years of age, accompanied by the appearance of rose-red maculopapular rashes. The distinctive feature of these rashes appears concurrently with the subsidence of the fever or after the fever has subsided, mainly concentrated on the trunk, head, and neck, with fewer occurrences on the limbs. There are usually no rashes below the elbows and knees or on the palms and soles. The rash fills up within 24 hours, and starts to fade 1-2 days later without leaving any pigmentation or scaling. The rash in toddler exanthem does not cause significant itching, and does not leave pigmentation or scaling after it subsides. Therefore, during the rash period of toddler exanthem, if the child is crying and restless, it may be related to the high fever. Parents should generally avoid scratching the rash for the baby to prevent skin damage and secondary bacterial infections.

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Written by Li Jiao Yan
Neonatology
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What to do with infantile sudden rash

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 Yan Xin Liang
Pediatrics
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How many days does the rash usually subside in young children with sudden onset?

How many days does it take for infantile roseola to fade? Typically, infants with roseola may experience a fever for three to five days, followed by the appearance of the rash, which usually lasts about three days. After the rash fully emerges, it will gradually fade away. Therefore, the rash from infantile roseola might appear as red, rose-like rashes, spreading across various parts of the body. It usually starts to subside slowly after 2 to 3 days, leaving no marks or skin scars. Unlike measles, where the skin can feel rough, pitted, or flaky after the rash subsides, the skin surface after recovering from roseola is very smooth, leaving no traces.