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Rash in children (Aetiology (Autoimmune Henoch-Schonlein purpura Eczema …
Rash in children
Aetiology
Autoimmune
Henoch-Schonlein purpura
Eczema
Psoriasis
Pityriasis versiculor
Haematological
ITP
Infection
Viral: measles, mumps, rubella, parvovirus B19, hand foot and mouth, chickenpox, roseola infantum
Bacterial: meningitis, impetigo, cellulitis, erysepelas
Fungal: ringworm
Infestations: scabies
Trauma
Insect bites
Burns
Drugs
Drug reaction e.g. AEDs, amoxicillin in glandular fever
Diagnosis
Examination
Dermatological exam
Site, appearance, spread
Investigations
Bloods
Cultures if ?septic
Bedside
Obs
Glass test (meningitis)
History
DH
Current meds, recent abx, allergies
FH
Other members unwell
PMH
Skin conditions, immunosuppression,
previous rashes
SH
Living conditions
PC/HPC
Site, onset, character, spread,
timing, exacerbating/relieving factors, severity
Associated symptoms (fever, malaise, fatigue, coryza)
Feeding, urinary/bowel, general wellness
Definition
Eruption on the
skin of the body
Epidemiology
Common
Clinical
presentation
Rash
Site (face, abdomen, limbs)
Onset (acute, chronic)
Character (red, itchy, painful, papules/
vesicles/pustules, erythematous, crusting)
Spreading over time
Associated symptoms (fever, malaise)
Management
Per cause