Brief Answer: Kindly send details an high resolution pictures Detailed Answer: Hi, Welcome and thanks for posting your query to healthcare magic. I can understand your concern towards skin rash all over torso of your son. Before I can answer your concern can you please take pains in letting me know certain important information regarding the incidence: 1. Since how long the skin rash is present. 2. Is it present on both front and back or only on one part. 3. Any outdoor activity before the starting of rash. 4. Any other relevant aggravating factor which you think is important to tell me. I humbly request you to kindly send few good resolution pictures of the areas so that it can be analyzed best. You have a feature to upload images by yourself at the right side of the query page, please utilize that so that I can answer your queries better. Or else, you can send as an attachment to YYYY@YYYY with the subject as "Attn: Dr. Sanjay Kumar Kanodia). "Wish you good health" with regards, Dr. Sanjay Kumar Kanodia (MD - Dermatology)

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Brief Answer: Self limiting viral exanthem Detailed Answer: Hello XXXXXXX Welcome to the forum again and thanks a lot for taking pains for sending additional information with pictures. Now after thoroughly analyzing the pictures and correlating all the facts I can make a diagnosis of “ Viral Exanthem” due to “Pityriasis rosea”. To tell you simply Pityriasis rosea is a viral rash which is an acute, self-limiting disease, most often considered to be due to herpes group of virus and that is why initially the type of appearance resembles chicken pox ( as you got confused with chicken pox because both pityriasis rosea and chicken pox belongs to same group of virus). It affects mainly children and young adults as in your son’s case, and characterized by a distinctive skin eruption and minimal constitutional symptoms. It is typically seen in cold weather. It is a sharply defined, erythematous(reddish to pink), round or oval plaque, soon covered by fine scale. General eruption begins to appear in crops at 2 to 3-day intervals over a week or 10 days. Less often, new lesions continue to develop for several weeks. It is different form chicken pox in the sense that it never presents as vesicle or bulla or yellow pus colored lesions. The lesions are usually said to be confined to the trunk, the base of the neck as I can see the same in your son's case. Less commonly can come on upper third of the arms and legs or infrequently it can come on rest of the body also if persists for more than few weeks. So if these progress to other side then do not be pancky for the same. In general the condition remains for 2-6 weeks and then subsides by itself. So in your son it may remain for next few weeks of period an then will subside by its own. The common asymptomatic and self-limiting cases require no treatment. So in your son’s case if it is not spreading very fast or if the itching is not troublesome then there is no need of any type of treatment. If itch is troublesome, or the appearance is distressing, then a topical steroid cream such as mometasone or fluticasone cream can be applied. Apply in very thin amount so that it should be visible to the naked eye. Additionally an antihistaminic tablet such as Loratadine (Claritin or lorfast) can be take for 1-2 times or even up to three time if the itching is troublesome. Let him wear cotton clothes not synthetic one. Let him wear cotton clothes under woolens. He can eat whatever he likes to to enjoy his vacations as there is no effect of any food items in his condition. Do not worry your son will be alright soon. I hope these information's will help you. If you have further queries I will be happy to help. "Wish you good health and early recovery from the problem of your son" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology)

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Brief Answer: Thanks for your appreciation Detailed Answer: Hello XXXXXXX Welcome to the forum again. I am really happy to know that you are now quite relaxed about your son's condition. Your appreciation is a continuous source of inspiration to work best in the field of dermatology. In future if you have any further queries then can ask me directly on: bit.ly/drsanjaykanodia I hope these information will help you. If you have any further queries I will be glad to help or if you do not then can close the query and rate the answer. "Just enjoy Sunday and happy new year ahead with best of health and wealth" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology and Sexually transmitted diseases)

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