Suggest Treatment For Rashes On Face Of A Child

Posted on Fri, 15 Jan 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 15 Jan 2016 Answered on

Thu, 11 Feb 2016 Last reviewed on

Question : I see some rashes on face on my kid, could you please check what it is ?

Answered by Dr. Dr. Kakkar (33 minutes later)

Brief Answer:
kindly upload image

Detailed Answer:
Hello. Thank you for writing to us.

I have gone through your query and I have noted your concern about rashes on face of your kid. However i dont think that you have uploaded the right image. Kindly upload again.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (8 minutes later)

It's the right image and I can see it. It's on her cheeks. Do you see it?
May I have an update?

Answered by Dr. Dr. Kakkar (6 hours later)

Brief Answer:
Either Herpes Or Impetigo

Detailed Answer:
Hi. Thank you. I can see the image. I can see grouped, fluid filled bumps on left side.
This could be either herpes labialis Or impetigo.
I would suggest you to apply a topical antibacterial e.g 2% muporocin cream (T-Bact Cream), twice daily, for a few days.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (4 hours later)

I took her to Doctor and the rash went away as the day progressed here. Doctor in clinical exam said it is not herpes. Also there is no blisters here and it is not hurting her or tingling.

She is 5 years and not in contact with anyone who got active sores . I am attaching a new picture here for you to have a second look. I am worried now a lot, she says it is itchy there. She is just five and can't express what she feels. There is no fever or pain there. We are in the US and not sure if it cold weather which is causing it.

Answered by Dr. Dr. Kakkar (4 hours later)

Brief Answer:
Get a blood test after 4 weeks

Detailed Answer:
Hi.

I have reviewed the Images. I can definitely see some fluid filled lesions. I would definitely keep herpes as a possibility. The best way to confirm is to go for a blood test, however, you need to wait for at least 3-4 weeks before taking a blood test because circulating antibodies may appear late. I suggest ELISA for Hsv Type 1, IgM and IgG.
Moreover, the site is classical of herpes. Orolabial herpes is usually asymptomatic and therefore absence of symptoms is not a criteria.
Orolabial herpes is usually acquired through casual contact like kissing from someone who has the infection. Most of the infections are acquired during clinically asymtomatic phases i.e without any evidence of active sores.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (20 minutes later)

we as parents are not infected and she is 5 years and she doesn't let anyone touch her. So I am not sure how and I took her to the pediatrician here and he said it doesn't look like Herpes lessons. I am not sure whom to trust now.

Answered by Dr. Dr. Kakkar (17 minutes later)

Brief Answer:
A dermatologist would be a suitable person to consult

Detailed Answer:
Hi.

I think the better person to consult would have been a dermatologist rather than a pediatrician. I still believe, herpes is a possible diagnosis. By the way, what diagnosis did the pediatrician suggested for this?? and did he prescribed anything for it? Obviously there can be a difference of opinion between doctors and moreover I am at a disadvantage of just having to look at the Image and giving a diagnosis. Anyways, don't need to worry. Get a blood test after at 4 week mark. Herpes is quite common and most patients do not realise or remember where they got it from and also because most of the infections are acquired during clinically asymptomatic phases.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 hours later)

Blod test is the only way to identify what it is ? In XXXXXXX we never had this issue I am not sure why it is all happening here. Should we go to a dermatologist?

Answered by Dr. Dr. Kakkar (9 minutes later)

Brief Answer:
No harm in taking a second opinion

Detailed Answer:
Hi.

Clinically it seems very much like herpes i.e hsv 1 infection. You may as well take a second opinion from a dermatologist near you, who would definitely be in a better position of being able to look at it more closely and directly. Its upto you. Blood test is only for a confirmatory diagnosis, if their is some doubt clinically.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (9 minutes later)

Thanks, I was convinced by the Pediatrician MD saying it is not Herpes, but I will not chance it. Thanks

Answered by Dr. Dr. Kakkar (1 minute later)

Brief Answer:
Thank you.

Detailed Answer:
Thank you for writing to us

Regards
take care

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar