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Forum Name: Dermatology Topics

Question: Hot red itching palms and spreading rash


 JLPortugal - Sat Feb 27, 2010 5:21 pm

Hi,
my 2 yr old son came back from playgroup with a runny nose last week. The mucus was very green and he has been running a low fever off and on for about a week now. A couple of days after the runny nose we noticed his hands, specifically his palms became red and itchy. Then appeared small blister type rash, first around his pams, then over a few days this has spread to his elbows, knees now his whole body (although it is most noticable on wrists, torso, armpits).
Antihistamines have had no effect - the rash seems to flare up when is temperature is high, and putting his hands in cold water seems to cure his itch (creams don't seem to help).
He has plenty of energy, good appitite still, but the itchy hands are becoming a problem, We think the rash might be a symptom of an infection (due to the mucus colour) but he has only just finished a course of antibiotics for strep throat (amoxycilin).

Any advice much appreciated!
 Dr.M.jagesh kamath - Wed Mar 03, 2010 9:04 am

User avatar Hello,Amoxycillin is known to produce a rash apart from the usual allergic type.This is known as nonallergic type occuring a few days after the exposure to the drug and could be itchy.This is known as Amoxycillin rash and more common in children.This may not be a contraindication for this antibiotic in the future but then need to be differentiated fromthe allergic type.This type could be a diagnosis for infectious mononucleosis caused by EB virus, and the condition is self limiting.Calamine lotion applications may help.Do consult your pediatrician for further evaluation.Bestwishes.
 JLPortugal - Fri Mar 12, 2010 4:03 pm

Hi, just for follow up - having seen his symptoms manifest with bright red cheeks, we think it was "fifths disease" he was suffering from. Rash now gone, but it has left his palms very dry and cracked.
 Dr.M.jagesh kamath - Fri Mar 19, 2010 10:18 am

User avatar Hello,This condition is otherwise known as slapped cheek disease and caused by the virus of parvoB19.The condition is self limiting.You need to apply just some vaseline for the cracked hands.Recovey would be good.
Best wishes.

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