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What Causes Red Itchy Lesions All Over Body In Children?

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Posted on Mon, 16 Mar 2015
Question: My six year old daughter suddenly started getting red itchy skin all over her body on this Sunday. Called up the paedriatrician. He asked me to give her Avil 25, LCZ 5 mg and Omnacortil 20. She became alright. Next day night again she started getting similar symptoms and was prescribed Omnacortil 20 twice a day, Cetcip 5 mg twice a day . Inspite of this dose being given she is developing red rashes in the afternoon ,and i am giving her Avil 25 .After some time becomes alright.Please advice.When enquired she told me that she had played with a rabbit on that day.Or could it be an insect bite. XXXXXXX XXXXXXX
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
I suggest a possibility of acute urticaria/ hives

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I have understood it.

I suggest a possibility of Acute Urticaria/ Hives.
Urticaria usually presents as red, itchy, skin welts/swellings and they can be distributed all over the body.
Itching is usually severe in patients of urticaria.

Acute Urticaria is usually allergic in nature and the implicating factors can be varied.

Common ones include:

-Foods allergy like milk, eggs, peanuts, cheese, tomatoes, pineapple, fish and prawns etc
-Food preservatives e.g canned food and drinks like cold drimks etc
-Drugs like Pain killers/ NSAID's, antibiotics, aspirin, vaccinations etc
-Viral infections like common cold etc may also present with urticaria and itching.
-Worm infestation is also an important cause in children.

Majority of acute urticaria cases resolve within 2 weeks.

Treatment is symptomatic i.e Oral antihistamines for a week or 10 days along with topical soothing lotion.

A short course of an Oral steroids i.e for a week or so, may also be required for symptomatic relief as in her case.

Therefore, I would suggest you to continue with the oral treatment as advised by your doctor

The other tablet that you mention contains pheniramine maleate. It is also helpful in controlling acute urticaria.
However, give her only 1/2 of the dose/tablet, at a time. You may give her round the clock i.e thrice daily Or every 8 hourly.
Please discuss the dose with your pediatrician.

Topically you may use a soothing lotion e.g calamine lotion for her.

I also suggest deworming for her, if it was'nt done in the past 6 months.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (21 hours later)
Sir, as she had played with rabbit. Can scabies be ruled out.Today I did not give her avil25 in the afternoon. Red bumps had appeared but I soothed them with the lotion you had mentioned. The other medications are going on. XXXXXXX
doctor
Answered by Dr. Dr. Kakkar (13 minutes later)
Brief Answer:
I suggest you to continue with the same treatment for next 2-3 days

Detailed Answer:
Hi,

Fine.
Very unlikely to be animal scabies. Mites that infect animals are different from the one that infects humans.
When animal mites land on human skin they fail to thrive and produce a mild itch that goes away on its own.
In other words animal scabies does not require any treatment.
I suggest you to continue with Oral steroids and cetrizine for the time being, for next 2-3 days.
Pheniramine maleate can be given just 1/2 of the tablet, every 8 hourly (i.e thrice daily) Or 12 hourly (i.e twice daily) for next 2-3 days.
You may also take her off from twice daily dosing of Oral steroids after 2-3 days and rather make it to once daily dose in morning for another 2-3 days as her rashes show signs of improvement.

Regards
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
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Red Itchy Lesions All Over Body In Children?

Brief Answer: I suggest a possibility of acute urticaria/ hives Detailed Answer: Hello. Thank you for writing to us I have taken note of your query and I have understood it. I suggest a possibility of Acute Urticaria/ Hives. Urticaria usually presents as red, itchy, skin welts/swellings and they can be distributed all over the body. Itching is usually severe in patients of urticaria. Acute Urticaria is usually allergic in nature and the implicating factors can be varied. Common ones include: -Foods allergy like milk, eggs, peanuts, cheese, tomatoes, pineapple, fish and prawns etc -Food preservatives e.g canned food and drinks like cold drimks etc -Drugs like Pain killers/ NSAID's, antibiotics, aspirin, vaccinations etc -Viral infections like common cold etc may also present with urticaria and itching. -Worm infestation is also an important cause in children. Majority of acute urticaria cases resolve within 2 weeks. Treatment is symptomatic i.e Oral antihistamines for a week or 10 days along with topical soothing lotion. A short course of an Oral steroids i.e for a week or so, may also be required for symptomatic relief as in her case. Therefore, I would suggest you to continue with the oral treatment as advised by your doctor The other tablet that you mention contains pheniramine maleate. It is also helpful in controlling acute urticaria. However, give her only 1/2 of the dose/tablet, at a time. You may give her round the clock i.e thrice daily Or every 8 hourly. Please discuss the dose with your pediatrician. Topically you may use a soothing lotion e.g calamine lotion for her. I also suggest deworming for her, if it was'nt done in the past 6 months. Regards