Pinprick looking rash on face (toddler)

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Posted 3/21/2009 by TankTop in NSBR Board

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PeaNut 25,495
December 2001
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Loc: Stuck in the 80's

Posted: 3/21/2009 6:22:59 PM
My son woke up from a nap with a rash on his face. It is mostly around his eyes and on his temples.

It looks like he has been stuck hundreds of times with a pin. Just little red dots everywhere. No itching, not raised, just the little dots.

Any idea what this is? has been there for several hours now.

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PeaNut 223,616
September 2005
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Posted: 3/21/2009 6:24:15 PM
Possibly roseola. I belive that is what it looked like only my kids had it on their chest and arms also.


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PeaNut 247,139
February 2006
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Posted: 3/21/2009 6:24:34 PM
allergic reaction?
contact dermatitis?
try a little hydrocortisone cream and give him oral antihistamines like benadryl.

Is he itching it??


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PeaNut 25,495
December 2001
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Loc: Stuck in the 80's

Posted: 3/21/2009 6:31:53 PM
no itching.

I will try some cream and see if that helps.


"Childhood is what you spend the rest of your life trying to overcome." Hope Floats


PeaNut 118,730
December 2003
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Posted: 3/22/2009 12:59:15 AM
Does he also have a fever?

My friends 18 month old just had a rash and fever and the first two conclusions were Roseola or 5ths disease. I think the final thing was Roseola because of how the rash looked.

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PeaNut 110,613
October 2003
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Posted: 3/22/2009 1:04:36 AM
Another vote for roseola. He would have had a fever the past few days as well. If you didn't notice, don't feel bad. I didn't either, I just noticed that he was cranky.

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PeaNut 260,865
May 2006
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Posted: 3/22/2009 1:37:38 AM
It's probably nothing but I would call your doc. it could be petichiae

The most common cause of petechiae is through physical trauma such as a hard bout of coughing, vomiting or crying which can result in facial petechiae, especially around the eyes. Petechiae in this instance are completely harmless and usually disappear within a few days. Petechiae may be a sign of thrombocytopenia (low platelet counts), in circumstances when platelet function is inhibited (e.g., as a side effect of medications or during certain infections), or in clotting factor deficiencies[1]. They may also occur when excessive pressure is applied to tissue (e.g., when a tourniquet is applied to an extremity or with excessive coughing).

If unsure, petechiae should always be quickly investigated. They can be interpreted as vasculitis, an inflammation of the blood vessels, which requires immediate treatment to prevent permanent damage. Some malignancies can also cause petechiae to appear. Petechiae should be investigated by a skilled health care provider immediately to rule out the more dangerous conditions. Dermatologists can be the most helpful specialists in these conditions because they can more easily identify if the condition is petechiae or some similar looking but less worrisome rash.

The significance of petechiae in children depends on the clinical context in which they arise. Petechiae in children can occur with viral infections. In this instance, they do not necessarily signify a serious illness. However, they are a hallmark signal of some potentially serious illnesses, such as meningococcemia, leukemia, and certain causes of thrombocytopenia. Therefore, their presence should not be ignored.


almost all the time it's no big deal but I would have it checked out just to be sure...


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