What Can I Do About the Rough Skin on My Arms

Warts are a common childhood viral skin disease. There are several types, and they can be found either individually or in clusters, usually on the fingers, hands, and feet. Most warts have a hard, rough surface and are slightly raised on the skin surface, but those on the sole of the foot (plantar warts) are pressed flat by body weight.

More than 50 million American kids have a food allergy. According to the American College of Allergy, Asthma, & Immunology, food allergy symptoms can include skin rashes such as hives—but they can also include life-threatening symptoms such as anaphylaxis, which is a whole body reaction that can include difficulty breathing and requires immediate medical attention. Talk to your child’s doctor if you suspect a food allergy.

Both dermatologists stress the importance of following up with your doctor regarding any questions you may have about your skin and the recommended treatment options available to you.

[Skin Concerns] Weird chest acne/rash -- please help me fix this! : r ...

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The acneiform eruptions may be caused by medications, hormonal and metabolic abnormalities, drug reactions, and genetic disorders.

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Grade 2 (moderate) rash

Antibiotics like penicillins and macrolides cause acute generalized pustular eruption without comedones. Patients are febrile with leukocytosis, Other antibiotics causing it include co-trimoxazole, doxycycline, ofloxacin, and chloramphenicol.

Hand, foot, and mouth disease is caused by the coxsackie virus, which produces little vesicles, or blisters, in the mouth, on the fingers, or on the feet. It is commonly seen in children under age 4, and symptoms include fever and blisters in the mouth that make it difficult to eat.

Facial example of a patient with a grade 2 (moderate) papulopustular rash during multikinase inhibitor treatment – image provided with courtesy of Prof. Dr. Siegfried Segaert (University Hospital Leuven, Leuven Belgium) 2014 All rights reserved.

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Acneiform eruptions are a group of disorders that are characterized by papules and pustules resembling acne vulgaris. It has an acute onset and can affect any age group. The characteristic lesion may be a nodule, papule, pustular, or cyst. The major difference between acne vulgaris and acneiform eruptions is that the latter does not have comedones.[1][2]

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Grade 1 (mild) rash

Steroid acne presents as monomorphous papulopustules located mainly on the trunk and extremities, with less involvement of the face. Characteristically, lesions appear after the administration of systemic corticosteroids. Topical corticosteroids may also cause acneiform eruption over the skin under which the topical preparation is applied or in around the nose or mouth in the case of inhaled steroids.

In some children, the rash spreads down the body, but the palms of the hands and the soles of the feet are often not affected. The rash can have a lacy appearance, might be itchy, and usually lasts one to three weeks.

The NCI-CTCAE v5.0 definition for the extremely rare ‘grade 4 Acneiform rash’ reads: Papules and/or Pustules covering any % BSA, which may or may not be associated with symptoms of Pruritus or tenderness and are associated with extensive superinfection with intravenous (IV) antibiotics indicated; life-threatening consequences.

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Lice are insects that lay eggs while attached to the hairs of the head. The eggs hatch after approximately one week and cause itching on the scalp. Head lice are commonly found on the hairline, on the neck, and behind the ears, and they can be seen using a magnifying glass and lice comb.

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Fungal Rash

And if you do have this condition, Shainhouse says your doctor will prescribe antibiotic creams and tablets, as well as anti-inflammatory medicine that will clear the breakout. But be prepared to wait at least a month or more for it to clear completely.

Folliculitis usually looks like red pimples with a hair in the centre of each one. The pimples may have pus in them and they may itch or burn. When the pimples break open, they may drain pus, blood or both. Folliculitis looks similar to acne because the bumps can have white filling in the lesion due to a bacterial infection; but it is not sebum, which is what you see with acne.

Skin Changes – Papulopustular Rash

Like acne, keratosis pilaris is a lot more common around puberty. Often, it gets better as a person grows older. It also tends to come and go. It usually gets worse in winter.

Itching is a very common symptom in patients with acneiform eruptions, so these patients may benefit from the use of antihistamines. If the itching is nocturnal, first-generation antihistamines are recommended because they also induce sleep.

I have these rough little bumps on my upper arms. My doctor says they are something called keratosis pilaris and there’s no cure. I’m embarrassed when I wear short-sleeved T-shirts. What should I do?
– Tamsin*

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Molluscum contagiosum is another common childhood rash caused by a virus. The rash takes the form of tiny, raised bumps (“mollusks”) on the skin surface that are 2 to 5 millimeters in diameter. The color of the rash varies but is often similar in color to the child’s unaffected skin. Each bump has a little dent in the center.

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Head Lice

Skin rashes are among the most common reasons parents and caregivers of small children visit the doctor. In most cases, however, rashes don’t indicate a dangerous condition. If a child is in good general health and has no other symptoms, you can often observe the skin rash for a few days before taking action. Many types of skin rashes will disappear without treatment.

Table 3: Grading of papulopustular eruption according to MESTT 17

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They usually do not bother the child, but they may be tender or itchy, so the child may tear and infect the skin by scratching. The “mollusks” can be found all over the child’s body, individually or in clusters. Usually, they disappear without treatment after a few weeks, or they may persist for several months or years. It’s a good idea to consult with a health care provider, as many will recommend treatment to prevent spreading.

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But if the skin rash is accompanied by high fever, breathing difficulties, vomiting, or changes in behavior (your child is acting sick or not like their usual self), take your child to see a doctor.

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