PEDIATRIC INFECTIOUS SKIN RASH

Pediatric Infectious Skin Rash Bacterial Cellulitis* Erythematous, poorly demarcated, non-palpable, blanchable rash Impetigo* Pustules with overlying thick honey-yellow crusts. Occurs in clusters Scarlet Fever* Erythematous sand-paper like rash over trunk, extremities, cheeks Strawberry tongue Spares palms and soles Pastia lines Staph Scaled Skin Widespread erythema involving the face, diaper, and intertriginous areas Desquamation and crusting present Nikolsky sign Meningococcemia* Purpuric, non-blanchable rash over full body Viral* Measles Erythematous, blanchable macules spreading cephalo-caudally Koplik spots URTI symptoms and pharyngitis Parvovirus Bright red, well demarcated rash over cheeks – “slapped-cheek” appearance May have lacy reticular rash over hands and feet Roseola Erythematous, blanchable macules spreading cephalo-caudally Rash usually starts after fever defervescence Molluscum Contagiosum Flesh colored, well demarcated papules with umbilicated center Varicella Vesicular rash filled with clear fluid, on an erythematous base Highly pruritic Other Scabies* Erythematous papules and vesicles distributed over hands and skin folds Burrow may be present Highly pruritic *Indicates Key Condition This is not an exhaustive list of medical conditions.