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DrOAB
DrOAB, Board Certified Pediatrician
Category: Pediatrics
Satisfied Customers: 1032
Experience:  In practice since 2000.
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9 month old girl with very red cheeks/nose for the last 2 days.

Resolved Question:

9 month old girl with very red cheeks/nose for the last 2 days. No fever.
Submitted: 7 years ago.
Category: Pediatrics
Customer: replied 7 years ago.

Age: 9 mos.; Female, New York


Already Tried:
1st inquiry prior to making an appt. with pediatrician
Expert:  DrOAB replied 7 years ago.

DearCustomer

 

Please clarify:

 

Has she been around anyone with cold-like symptoms?

Any other symptoms, in particular a rash anywhere else on her body?

Does your child's rash resemble these images?

http://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/19074.jpg

http://www.visualsunlimited.com/images/watermarked/420/420181.jpg

 

I notice you've gone offline, so I'll leave my thoughts.

 

A red rash affecting the upper cheeks is often called a malar rash.

 

Here are causes of malar rash that may not involve a fever: contact dermatitis; seborrheic dermatitis; tinea faciale; systemic lupus erythematosus; acnea rosacea (usually seen in adults); impetigo.

 

These other malar rash causes may involve a fever: fifth disease, or human parvovirus B19 infection (a mild case may not involve a fever); Lyme disease; cellulitis; necrotizing fasciitis; erysipelas; dermatomyositis; angioedema.

 

 

 

 

 

 

Customer: replied 7 years ago.

She has not been around anyone with a cold that I am aware of.

Her nose/cheek redness is not a rash form. It resembles a look of someone who has received wind burn, except it is not shiny or heated when touched. Her skin remains smooth and not scaly.

Expert:  DrOAB replied 7 years ago.

DearCustomer

 

A red rash affecting the upper cheeks is often called a malar rash.

 

Here are causes of malar rash that may not involve a fever: contact dermatitis; seborrheic dermatitis; tinea faciale; systemic lupus erythematosus; acnea rosacea (usually seen in adults); impetigo.

 

These other malar rash causes may involve a fever: fifth disease, or human parvovirus B19 infection (a mild case may not involve a fever); Lyme disease; cellulitis; necrotizing fasciitis; erysipelas; dermatomyositis; angioedema.

 

My first diagnostic thought was a mild case of fifth disease, as this commonly affects children, while my second consideration was lupus if there was a family history of this condition. Your pediatrician will perform a careful exam and perhaps consider lab tests to narrow these numerous possibilities.

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