Hello doctor, My 8-year-old daughter has something on her skin. It started about five weeks back with a little red spot on her inner thigh. Initially, it was a bit dry inside. Later, surrounded by a ring-like shape. Now, it has become big. She got Daktarin for ringworm treatment but it did not help, and after a week the spot got even bigger and changed the color to purple. In the meantime, she was getting new red spots. We went back to GP, and she got Hydrocortisone as a change in treatment. Still no results and new spots are showing up. After a week, we came back to GP, and she got antibiotic Flucloxacillin. There was no change. Yesterday, a swab was taken, and she got Permethrin cream, and I cannot see the results. I am cleaning her with Hibiscrub for the last five days. There is no itchiness, discomfort or discharge.
Hi. I saw the picture (attachment removed to protect patient identity). Few rashes look like Pityriasis rosea. It is a self-limiting condition, usually seen as a reaction to viral infections, some oral medications can also precipitate Pityriasis rosea. It starts with the mother patch, which is the biggest patch that appears first. It presents with red round rash with scales at the edges; we call it collarette scales which is very classic of Pityriasis rosea. After the mother patch appears, daughter patches follow it. It will be seen on arms, neck, chest, back, and thighs. Each lesion will appear round to oval in shape, with scales at the edge. Sometimes, red bumps are also seen (papular Pityriasis rosea). The peak of rashes (maximum number of rashes) will be around the 4th week, and by the end of 6th to 8th week, rashes start subsiding. Fungal infections (tinea) are very itchy. Fungal infection presenting without itching is very unlikely. Though rashes look similar. In scabies, rashes will be intensely itchy with red bumps over finger spaces, wrist, armpits, around the belly button and groin. I would like to know that did she have fever, cough or sore throat before the rash? Is she taking any oral medication? Does anyone else in the family have similar rashes? Any changes in the routine skin care products, like body lotion, powder or detergent? Do you have pets at home and are these pets ticks free? Can you also upload some clear picture of single rash so that I can appreciate all the finer details? For more information consult a dermatologist online -->