Healthy skin provides a barrier between the inside of the body and
the outside environment. A rash means some change has affected the skin.
Rashes are generally caused by skin irritation, which can have many
causes. A rash is generally a minor problem that may go away with home
treatment. In some cases a rash does not go away or the skin may become so
irritated that medical care is needed.
In adults and older
children, rashes are often caused by contact with a substance that irritates
the skin (contact dermatitis). The rash usually starts within 48
hours after contact with the irritating substance. Contact dermatitis may cause
mild redness of the skin or a rash of small red bumps. A more severe reaction
may cause swelling, redness, and larger blisters. The location of the rash may
give you a clue about the cause.
Contact dermatitis does not
always occur the first time you are in contact to the irritating substance
(allergen). After you have had a reaction to the
substance, a rash can occur in response to even very small amounts of the
substance. Contact dermatitis is not serious, but it is often very itchy.
Common causes of contact dermatitis include:
Soaps, detergents, shampoos, perfumes, cosmetics, or
lotions.
Jewelry or fabrics.
New tools, toys, appliances, or other objects.
Latex. Allergy to natural rubber latex affects people
who are exposed to rubber products on a regular basis, especially health care
workers, rubber industry workers, and people who have had multiple surgeries.
Latex allergies can cause a severe reaction.
Rashes may occur with viral infections, such as
herpes zoster; fungal infections, such as a yeast
infection (Candida albicans); bacterial infections, such
as
impetigo; and
sexually transmitted diseases (STDs). Rashes may also
occur as a symptom of a more serious disease, such as liver disease, kidney
disease, or some types of cancer.
Rashes may also appear
after exposure to an insect or a parasite, such as the
scabies mite. You may develop a rash when you travel
to a rural area or go hiking or camping in the woods.
A rash may
be a sign of a chronic skin problem, such as
acne,
eczema,
psoriasis, or
seborrheic dermatitis. Other causes of rash include
dry, cold weather; extremely hot weather (heat rash); and emotional stress.
Emotions such as frustration or embarrassment may lead to an itchy rash.
The need for medical treatment often depends on what other
symptoms are present. A rash that occurs with other symptoms, such as shortness
of breath or fever, may mean another problem, such as a serious
allergic reaction or infection.
A very
rare and serious type of generalized red rash is toxic epidermal necrolysis
(TEN). This rash may cause the skin to peel away, leaving large areas of tissue
that weep or ooze fluid like a severe burn. If this type of rash occurs, you
need to see a doctor. TEN may occur after the use of some
medicines.
Review the Emergencies and
Check Your Symptoms sections to determine if and when you need to see a
doctor.
Rapid swelling of the throat, tongue, lips, eyelids, or
face
Drooling and an inability to swallow
A severe allergic reaction (anaphylaxis),
particularly to the same
allergen in the past
A rash that looks like bruises (purpura) or
blood spots (petechiae) under the skin and that occurs along with
mental changes, such as
confusion, irritability, or extreme sleepiness
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have any of the following symptoms, evaluate those
symptoms first.
Do you think your rash may be caused by a medicine?
Note:
If your answer is Yes:
Call the doctor who prescribed the medicine to
determine whether you should stop taking the medicine or take a different one.
An appointment may not be necessary. Do not take another dose of the medicine
until you have spoken to your doctor.
If you are taking a nonprescription medicine or an
herbal remedy, stop taking the medicine. Call your doctor if you feel you need
to continue taking the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Do you have painful blisters in a band around one side of the chest,
abdomen, or face or down one arm or leg?
Note:
Call your doctor as soon as possible. If
shingles is causing your symptoms, there may be a
medicine you can take that will relieve the pain and limit the rash. Medicines
are most effective if begun within 2 to 3 days of the start of the rash.
Are you sexually active and you have a rash or sore in the genital
area?
Note:
If you think that you have been exposed to a
sexually transmitted disease (STD), it is important to
be checked right away by your doctor. This will help prevent serious health
problems for you and will lower the chance of spreading the infection to
others.
Do not have sexual contact while waiting for your
appointment. This will lower the chance of spreading a disease to your partner.
Your partner may need to be checked as well.
Many STD symptoms will go away or change
quickly. This does not mean that the STD has gone away. It will be harder for
your doctor to diagnose your STD after the symptoms have changed. A delay in
being checked may lead to a more serious problem.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
the following question.
Rapid swelling of the throat, tongue, lips, eyelids, or
face
Drooling and an inability to swallow
A severe allergic reaction (anaphylaxis),
particularly to the same
allergen in the past
A rash that looks like bruises (purpura) or
blood spots (petechiae) under the skin and that occurs along with
mental changes, such as
confusion, irritability, or extreme sleepiness
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you have any of the following symptoms, evaluate those
symptoms first.
Do you think your rash may be caused by a medicine?
Note:
If your answer is Yes:
Call the doctor who prescribed the medicine to
determine whether you should stop taking the medicine or take a different one.
An appointment may not be necessary. Do not take another dose of the medicine
until you have spoken to your doctor.
If you are taking a nonprescription medicine or an
herbal remedy, stop taking the medicine. Call your doctor if you feel you need
to continue taking the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Do you have painful blisters in a band around one side of the chest,
abdomen, or face or down one arm or leg?
Note:
Call your doctor as soon as possible. If
shingles is causing your symptoms, there may be a
medicine you can take that will relieve the pain and limit the rash. Medicines
are most effective if begun within 2 to 3 days of the start of the rash.
Are you sexually active and you have a rash or sore in the genital
area?
Note:
If you think that you have been exposed to a
sexually transmitted disease (STD), it is important to
be checked right away by your doctor. This will help prevent serious health
problems for you and will lower the chance of spreading the infection to
others.
Do not have sexual contact while waiting for your
appointment. This will lower the chance of spreading a disease to your partner.
Your partner may need to be checked as well.
Many STD symptoms will go away or change
quickly. This does not mean that the STD has gone away. It will be harder for
your doctor to diagnose your STD after the symptoms have changed. A delay in
being checked may lead to a more serious problem.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to
the following question.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Most rashes will go away without
medical treatment. Home treatment can often relieve pain and itching until the
rash goes away.
If you have come in contact with a substance such
as
poison ivy, oak, or sumac, immediately wash the area
with large amounts of water.
Once a rash has developed, leave it
alone as much as possible.
Use soap and water sparingly.
Leave the rash exposed to the air whenever possible.
Do not scratch the rash.
If you have a rash, you should not be in contact with
children or pregnant women. Most viral illnesses that cause a rash are
contagious, especially if a fever is present.
Relief from itching
Keep the itchy area cool and moist. Put cloths soaked in ice
water on the rash a few times a day. Too much wetting and drying will dry the
skin, which can increase itching.
Keep cool and stay out of the sun. Heat makes itching
worse.
Try an oatmeal bath to help relieve itching. Wrap
1 cup of oatmeal in a cotton cloth or sock and
boil as you would to cook it. Allow it to cool to room temperature, and use it
as a sponge and bathe in cool water without soap. You may also buy a product at
the store, such as Aveeno Colloidal Oatmeal bath.
Avoid scratching as much as possible. Scratching leads to more
scratching. Cut nails short or wear cotton gloves at night to prevent
scratching.
Wear cotton clothing. Do not wear wool and synthetic fabrics
next to your skin.
Use gentle soaps, such as Basis, Cetaphil, Dove, or Oil of
Olay, and use as little soap as possible. Do not use deodorant soaps.
Wash your clothes with a mild soap, such as CheerFree or
Ecover, rather than a detergent. Rinse twice to remove all traces of the soap.
Do not use strong detergents.
Do not let the skin become too dry, which may make itching
worse. See the topic Dry Skin and Itching in Related Information for additional
home treatment.
Take several breaks during the day to do a relaxation exercise,
particularly before going to bed if stress appears to cause your itching or
make it worse. Sit or lie down, and try to clear your mind. Concentrate on
relaxing every muscle in your body, starting with your toes and going up to
your head. For more information, see the topic
Stress Management.
Nonprescription medicines for itching
Carefully
read and follow all label directions on the medicine bottle or box.
Try calamine lotion for a rash caused by
contact dermatitis, such as poison ivy or poison oak
rashes.
Try an oral
antihistamine to help the scratch-itch cycle. Examples
include chlorpheniramine maleate, such as Chlor-Trimeton, and diphenhydramine,
such as Benadryl. Oral antihistamines are helpful when itching and discomfort
are preventing you from doing normal activities, such as work and sleep.
Antihistamines may cause drowsiness. Do not drive or operate any type of
equipment if you are taking any of these medicines. And don't give
antihistamines to your child unless you've checked with the doctor first.
Medicine you can buy without a prescription
Try a nonprescription
medicine to help treat your fever or pain:
Aspirin (also a nonsteroidal anti-inflammatory drug),
such as Bayer or Bufferin
Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine.
Safety tips
Be sure to follow
these safety tips when you use a nonprescription medicine:
Carefully read and follow all directions on the medicine
bottle and box.
Do not take more than the recommended dose.
Do not take a medicine if you have had an
allergic reaction to it in the past.
If you have been told to avoid a medicine, call your
doctor before you take it.
If you are or could be pregnant, do not take any medicine
other than acetaminophen unless your doctor has told you to.
You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions:
What is the history of your rash, including:
When did the rash start?
Where did the rash start?
Has the rash spread?
Has the rash changed?
Have you been in contact with anything that may have caused
the rash?
Have you been around anyone recently who has a similar
rash?
Has anything made the rash better or worse?
Have you had this rash before? If yes:
What were the circumstances?
When did you last have it?
How was it treated?
How long did it last?
What other symptoms have you had? Symptoms may include itching,
burning, stinging, tingling, numbness, pain, or tenderness to the touch.
Have you used a new food, medicine, or product, such as
cosmetics, cleaning agents, detergents, soaps, chemicals, fabrics, lotions, or
nonprescription medicines?
Have you been exposed to poisonous plants. such as poison ivy,
oak, or sumac?
Have you had any other health problems during the past 3
months?
Have you recently traveled to a rural area or to another
country?
Have you been under an unusual amount of stress at home, work, or
both?
Does anyone in your family have a skin disorder or an allergy? If
so, to what?
What home treatment measures have you tried? Did they help?
What nonprescription medicines have you tried? Did they
help?
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