Rash
A rash is a change of the skin which affects its color, appearance, or texture . A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch , become warm, bumpy, dry, cracked or blistered , swell and may be painful. The causes, and therefore treatments for rashes, vary widely. Diagnosis must take into account such things as the appearance of the rash, other symptoms, what the patient may have been exposed to, occupation, and occurrence in family members. The diagnosis may confirm any number of conditions.
The presence of a rash may aid associated signs and symptoms are diagnostic of certain diseases. For example, the rash in measles is an erythematous , maculopapular rash that begins a few days after the fever starts; it classically starts at the head and spreads downwards.
Causes
Common causes of rashes include:
anxiety
allergies , for example to foods, dyes, medicines, insect stings, metals such as zinc or nickel; such rashes are often called hives .
skin contact with an irritant
bacterial or viral infection , e.g., by the viruses that cause chickenpox , smallpox , cold sores and measles
fungal infection , such as ringworm
reaction to vaccination
skin diseases such as eczema or acne
exposure to sun (sunburn ) or heat
friction due to chafing of the skin
irritation such as caused by abrasives impregnated in clothing rubbing the skin. The cloth itself may be abrasive enough for some people
Uncommon causes:
Evaluating a rash
The causes of a rash are extremely broad, which may make the evaluation of a rash extremely difficult. An accurate evaluation by a doctor may only be made in the context of a thorough history (What medication is the patient taking? What is the patient's occupation? Where has the patient been?) and complete physical examination.
Points to note in the examination include:
the appearance: e.g., purpuric (typical of vasculitis and meningococcal septiaemia ), fine and like sandpaper (typical of scarlet fever ); umbilicated lesions are typical of molluscum contagiosum (and in the past, small pox ); plaques with silver scales are typical of psoriasis .
the distribution: e.g., the rash of scarlet fever becomes confluent and forms bright red lines in the skin creases of the neck, armpits and groins (Pastia's lines ); the vesicles of chicken pox seem to follow the hollows of the body (they are more prominent along the depression of the spine on the back and in the hollows of both shoulder blades); very few rashes affect the palms of the hands and soles of the feet (secondary syphilis , rickettsia or spotted fevers ,[1] guttate psoriasis , hand, foot and mouth disease , keratoderma blenorrhagica );
symmetry: e.g., herpes zoster usually only affects one side of the body and does not cross the midline.
Typically, it is never a good habit for one to scratch a rash, as doing so may invigorate the rash and cause it to spread. Gently rubbing the rash may provide temporary relief, but it is more than likely better to avoid contact with the affected areas altogether.
Quick Overview of Symptoms of Skin Rashes/Diseases
Skin Disease
Symptoms
Usual Area of Body
Acne
Covered in small pus-filled sacs, blackheads, pimples or sore red bumps
Face, Chest or Back
Rosacea
Flushed appearance or Redness
Around cheeks, chin, forehead or nose
Boil
Painful red bump or a cluster of painful red bumps
Anywhere
Cellulitis
Red, tender and swollen areas of skin
Around a cut, scrape or skin breach
Insect bite
Red and/or itchy bumps on your skin
Anywhere and can be sprinked randomly
Allergic Reaction
Irregular, raised or flat red sores that appeared after taking medicine/drugs or eating certain foods
Anywhere
Hives
Bumps formed suddenly
Anywhere but usually first noticed on face
Seborrheic dermatitis
Bumps and swelling
Near glands
Cradle Cap
Dry, scaly skin
Cover the head of a child
Irritant contact dermatitis
Red, itchy, scaly or oily rash
Eyebrows, nose, edge of the scalp, point of contact with jewellery, perfume or clothing.
Allergic Contact Dermatitis caused by poison ivy , oak or sumac
Red, itchy, scaly or oily rash; can also be weeping or leathery.
Anywhere that came in contact with the irritant either directly or via transfer (eg. from contaminated clothing.)
Allergic purpura
Small red dots on your skin, or larger, bruise-like spots that appeared after taking medicine
Anywhere
Pityriasis Rosea
Started with a single scaly, red and slightly itchy spot, and within a few days, did large numbers of smaller patches of the rash, some red and/or others tan
Chest and Abdomen
Dermatitis herpetiformis
Intensely itchy rash with red bumps and blisters
Elbows, knees, back or buttocks
Erythema nodosum
Large red bumps that seem to bruise and are tender to touch
Anywhere
Psoriasis
White, Scaly rash over red, irritated skin
Elbows and knees
Erythema multiforme
Red, blotchy rash, with "target like" hives or sores.
Anywhere
Measles
Red Rash that is raised with a fever or sore throat.
Usually starts first on the forehead and face and spreads downward.
Chickenpox
Multiple blisters with a fever, cough, aches, tiredness and sore throat.
Usually starts first on the face, chest and back and spreads downward.
Shingles
Red Blisters that are very painful and may crust
Anywhere
Fifth Disease
Started as a fever and then developed a bright red rash
Cheeks
Warts
Soft bumps forming that don't itch and have no other symptoms
Anywhere
Ringworm
Bald spot on your scalp or a ring of itchy red skin
Anywhere
Syphilis
Rash that is red but not itchy
Palms of hands or soles of feet
Jock Itch , Yeast Infection or Diaper rash
Red itchy rash
Groin
Tinea versicolor
Light coloured patches
Anywhere
Impetigo
Crusted, tan-colored sores
Near nose or lip
Scabies
Bite-like sores that itch and spread intensely
Usually start on hands or feet and spread everywhere
Rocky Mountain Spotted Fever
A fine rash with a fever and headache
Usually start on arms and legs including the hands and feet
Lupus Erythematosus
A butterfly rash with achy joints
Forehead and cheeks
Jaundice or sign of Hepatitis
Yellowish
Skin, whites of eyes and mouth
Bruise
Blue or black area after being hit
Anywhere
Actinic keratoses
Scaly, pink, gray or tan patches or bumps
Face, scalp or on the backs or your hands
Keloid or Hypertrophic scar
Scar that has grown larger than expected
Anywhere
Lipoma
Soft or rubbery growth
Anywhere
Milia
Lots of white spots
on the face of a baby
Molluscum or Contagiosum
Small, firm, round bumps with pits in the center that may sit on tiny stalks
Anywhere
Sebaceous cyst
Bump with a white dome under your skin
Scalp, nape of your neck or upper back
Skin Tag
Soft, fleshy growth, lump or bump
Face, neck, armpits or groin
Xanthelasma
Yellow area under your skin
Under Eyelids
Melanoma
Dark bump that may have started within a mole or blemish, or, a spot or mole that has changed in color, size, shape or is painful or itchy
Anywhere
Basal Cell Carcinoma
Fleshy, growing mass
Areas exposed to the sun
Squamous Cell Carcinoma
Unusual growth that is red, scaly or crusted
Face, lip or chin
Kaposi's Sarcoma
Dark or black raised spots on your skin that keep growing or have appeared recently
Anywhere
Erythema Annulare Centrifugum (EAC)
Pink-red ring or bullseye marks
Anywhere
See also
References
External links
de:Exanthem
es:Eflorescencia
fr:Rash (médecine)
io:Irito
he:?????
some rashes with stinging and little red dots are called gumadots.
gomadots can grow white hair on the place it is in.
Source: Wikipedia | The above article is available under the GNU FDL. | Edit this article
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