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 General Dermatology

Rashes

Rashes

Poison oak rash on the arm
Poison oak rash on the arm
Erythema toxicum on the foot
Erythema toxicum on the foot
Acrodermatitis
Acrodermatitis
Roseola
Roseola
Shingles
Shingles
Cellulitis
Cellulitis
Erythema annulare centrifugum - close-up
Erythema annulare centrifugum - close-up
Psoriasis, guttate on the arms and chest
Psoriasis, guttate on the arms and chest
Psoriasis, guttate on the cheek
Psoriasis, guttate on the cheek
Systemic lupus erythematosus rash on the face
Systemic lupus erythematosus rash on the face
Poison ivy on the knee
Poison ivy on the knee
Poison ivy on the leg
Poison ivy on the leg
Erythema multiforme, circular lesions - hands
Erythema multiforme, circular lesions - hands
Erythema multiforme, target lesions on the palm
Erythema multiforme, target lesions on the palm
Erythema multiforme on the leg
Erythema multiforme on the leg

Definition:
Rashes involve changes in the color or texture of your skin.
Alternative Names:
Skin redness or inflammation; Skin lesion; Rubor; Skin rash; Erythema
Considerations:
Often, the cause of a rash can be determined from its visible characteristics and other symptoms.
Common Causes:

A simple rash is called dermatitis, meaning inflammation of the skin. Contact dermatitis is caused by things your skin touches, such as:

  • Chemicals in elastic, latex, and rubber products
  • Cosmetics, soaps, and detergents
  • Dyes and other chemicals in clothing
  • Poison ivy, oak, or sumac

Seborrheic dermatitis is a rash that appears in patches of redness and scaling around the eyebrows, eyelids, mouth, nose, the trunk, and behind the ears. If it happens on your scalp, it is called dandruff in adults and cradle cap in infants.

Age, stress, fatigue, weather extremes, oily skin, infrequent shampooing, and alcohol-based lotions aggravate this harmless but bothersome condition.

Other common causes of a rash include:

  • Eczema (atopic dermatitis) -- tends to happen in people with allergies or asthma. The rash is generally red, itchy, and scaly.
  • Psoriasis -- tends to occur as red, scaly, itchy patches over joints and along the scalp. Fingernails may be affected.
  • Impetigo -- common in children, this infection is from bacteria that live in the top layers of the skin. Appears as red sores that turn into blisters, ooze, then crust over.
  • Shingles -- a painful blistered skin condition caused by the same virus as chickenpox. The virus can lie dormant in your body for many years and re-emerge as shingles.
  • Childhood illnesses such as chicken pox, measles, roseola, rubella, hand-foot-mouth disease, fifth disease, and scarlet fever.
  • Medications and insect bites or stings.

Many medical conditions can cause a rash as well. For example:

Home Care:

Most simple rashes will improve with gentle skin care and avoiding irritating substances. Follow these general guidelines:

  • Avoid scrubbing your skin.
  • Use as little soap as possible. Use gentle cleansers instead.
  • Avoid applying cosmetic lotions or ointments directly on the rash.
  • Use warm (not hot) water for cleaning. Pat dry, don't rub.
  • Eliminate any newly added cosmetics or lotions.
  • Leave the affected area exposed to the air as much as possible.
  • Try calamine medicated lotion for poison ivy, oak, or sumac as well as other types of contact dermatitis.

Hydrocortisone cream (1%) is available without a prescription and may soothe many rashes. If you have eczema, apply moisturizers over your skin. Try oatmeal bath products, available at drugstores, to relieve symptoms of eczema, psoriasis, or shingles.

For psoriasis, you may need a prescription. You could also talk to your doctor about ultraviolet (UV) light therapy. It is safest to have such treatment under medical supervision. However, not all clinics or hospitals offer light therapy. Home units are available, but the cost is not always covered by insurance. If you do purchase a home unit, look for a device that delivers narrow band UVB light.

For seborrheic dermatitis, try applying small amounts of anti-dandruff shampoo to patches of this scaly rash on your skin, especially near hairy areas like your eyebrows. Leave on for 10 minutes and then carefully rinse off. If the shampoo feels irritating or your skin becomes redder, STOP use.

For impetigo, an antibacterial cream or oral antibiotic is generally prescribed.

See article on poison ivy, oak, and sumac to learn how to treat and prevent this type of contact dermatitis.


Review Date: 7/18/2007
Reviewed By: Kevin Berman, MD, PhD, Associate, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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