Rash

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A rash is a noticeable change in the texture or color of the skin. The skin may become red, bumpy, itchy, or otherwise irritated. Rashes are usually caused by skin inflammation, which can result from a variety of conditions, ranging from mild allergies to serious systemic diseases.

Severerash

Introduction[edit | edit source]

Rashes encompass a wide range of conditions, and they can manifest in many forms and affect any part of the body. They're typically associated with skin irritation, which can arise from several underlying causes. Rashes can be localized to one area or widespread, and their characteristics can offer clues to their etiology.[1]

Types of Rashes[edit | edit source]

  • Rashes can take on many forms, including:
  • Maculopapular Rashes: These are flat and red rashes that often include raised areas.
  • Urticarial Rashes: Also known as hives, these appear as raised, itchy patches of skin.
  • Vesicular Rashes: These are characterized by small, fluid-filled blisters.
  • Petechial Rashes: These are small, red or purple spots on the skin caused by minor bleeding from broken capillary blood vessels.
  • Purpuric Rashes: Similar to petechial rashes but larger, they are also caused by the leakage of blood from capillaries into the skin.[2]

Causes[edit | edit source]

  • Rashes can be caused by numerous factors, such as:
  • Infections: Bacterial, viral, or fungal infections can cause rashes. Examples include measles, chickenpox, and ringworm.
  • Allergic Reactions: Rashes can result from contact with allergens, like certain plants (poison ivy), chemicals, food, or medication.
  • Autoimmune Diseases: Certain autoimmune diseases, like lupus or psoriasis, can lead to rashes.
  • Irritants and Toxins: Exposure to certain substances can cause rashes, such as detergents, cosmetics, and certain plants.
  • Heat: Heat rash, or prickly heat, is caused by blocked sweat glands.[3]

Symptoms[edit | edit source]

Symptoms associated with rashes can include redness, itching, swelling, blistering, scaling, and pain. The specific symptoms can depend on the underlying cause of the rash.

Diagnosis[edit | edit source]

  • Diagnosis of a rash typically involves a physical examination and a review of the patient's medical history. The appearance and location of the rash, along with any accompanying symptoms, can often suggest the cause.
  • In some cases, additional tests may be needed, such as skin biopsy, allergy testing, or blood tests.[4]

Treatment[edit | edit source]

  • Treatment of a rash primarily involves addressing the underlying cause. This might involve topical creams or ointments, oral medications, or avoiding specific triggers.
  • For symptomatic relief, treatments may include antihistamines to reduce itching, moisturizers for dry skin, or corticosteroids to reduce inflammation.[5]

Prevention[edit | edit source]

Prevention strategies depend on the cause of the rash but may include good skin hygiene, avoiding known irritants or allergens, and staying up to date with immunizations.

See Also[edit | edit source]

References[edit | edit source]

  1. Kanerva, L., et al. (2010). Handbook of Occupational Dermatology. Springer Berlin Heidelberg.
  2. Parsons, J. M.. (1998). Rash Diagnosis. InnovAiT, 1(5), 364–371.
  3. Johansen, J. D., et al. (2015). Contact Dermatitis. Springer, Berlin, Heidelberg.
  4. Bolognia, J. L., et al. (2017). Dermatology. Elsevier.
  5. Fitzpatrick, T. B., et al. (2017). Dermatology Secrets Plus. Elsevier.
Rash Resources

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Contributors: Prab R. Tumpati, MD