Rash Update

TJ1979 · March 2014

Sorry, I'm a total PW this week. And sorry MK, I know you hate rash posts.

Okay, so we thought it might be yeast bc there were little red dots. So we did nystatin and sposies for 36 hours. It looked 0% better. Every time we put a sposie on her, she said ew, yucky, and kept bringing us cloth to put on her. So we figured whatever, the nystatin doesn't seem to be making a difference, let's put her in cloth overnight with cj's and see what she looks like tomorrow. So this morning, she basically looks exactly the same.

But I don't know that it looks like yeast. I mean, yes it's little red dots. But they are completely evenly interspersed throughout her entire diaper area, almost like a contact rash would be. There aren't like clusters of red here or there, and it's not worse in the creases and such. It's not bright red, the skin isn't broken. She doesn't seem to be itchy, but she does point to her business every time we take her diaper off, and she is asking for diapers more often than usual. Which to me sort of indicates discomfort of some sort.

Any thoughts?

stoneycakes · March 2014

I am no help, but this sounds like exactly what happens to my DS when he's in CDs full time. Sposies make it better, though.

TJ1979 · March 2014

I don't think it seems eczema-y. It's not dry or flaky or scaly at all, that's kind of what I think of when I think of eczema. And no, it's in the 70's here (sorry all you cold weather ladies. It's rainy and gross if that helps.) We use tide, and have since she was maybe 4 months.

It's been off and on for about 10 days, but has been pretty consistent the last 3 days. It seems to get better overnight, then is bad again when I pick her up from school.

Does this sound consistent with just sitting in a wet diaper for too long? (I don't think dc is changing her often enough.) Or could it be from using scented wipes (which they kept saying they don't use, but I have busted them with 3-4 times in as many months.)

TJ1979 · March 2014

stoneycakes said:

I am no help, but this sounds like exactly what happens to my DS when he's in CDs full time. Sposies make it better, though.

36 hours of sposies did not seem to make a difference. Which is what totally throws me off, dang it!

zaraceligon · March 2014

For my own experience,I will recommend you to take your LO to the doc. My LO boy developed a viral infection the I thought was a diaper rash, it was for ten days.it was little red dots, and then one day when he wake up all the red dot was all over his legs and little by little was spreading all over his body and face. Right now he is much better all the rashes are disappearing but he steal has some on the legs. I'm no saying the it can be the problem, but is better to check what's the problem.

zaraceligon · March 2014

Gianotti-crosti syndrome

The Gianotti-Crosti syndrome is a characteristic response of the skin to viral infection in which there is a papular rash which lasts for several weeks. Other names sometimes used for this skin condition include papulovesicular acrodermatitis of childhood, papular acrodermatitis of childhood and acrodermatitis papulosa infantum.

The specific viruses causing Gianotti-Crosti syndrome include:

Hepatitis B infection
Epstein Barr virus (the cause of glandular fever)
Enterovirus infections
Echo viruses
Respiratory syncytial virus

Who is affected?

Gianotti-Crosti syndrome mainly affects children between the ages of 6 months and 12 years. A clustering of cases is often observed. A preceding upper respiratory infection is common.

Clinical features

Over the course of 3 or 4 days a profuse eruption of dull red spots develops first on the thighs and buttocks, then on the outer aspects of the arms, and finally on the face. The rash is often asymmetrical.

The individual spots are 5-10 mm in diameter and are a deep red colour. Later they often look purple, especially on the legs, due to leakage of blood from the capillaries. They may develop fluid-filled blisters.

Itch is uncommon, particularly if hepatitis B is the cause.

Gianotti-Crosti syndrome

Hepatitis B	Epstein-Barr virus infection	Unknown cause

More images of Gianotti-Crosti syndrome ...

The patient may feel quite well or have a mild temperature. Mildly enlarged lymph nodes in the armpits and groins may persist for months.

There is seldom any jaundice even when the rash is caused by hepatitis B but there are may be abnormal liver function tests and an enlarged liver.

Investigations

Blood tests may be done for liver function and to check for hepatitis B, glandular fever and other viruses.

What is the outlook for Gianotti-Crosti syndrome

The rash fades in 2-8 weeks with mild scaling.

If hepatitis B is present, the liver takes between 6 months and 4 years to recover fully. Sometimes there is persistent hepatitis and long term viral carriage.

Recurrence of the Gianotti-Crosti syndrome is unlikely but has been reported.

What treatment is available for the Gianotti-Crosti syndrome?

There is no specific treatment. A mild topical steroid cream may be prescribed for itch.

TJ1979 · March 2014

We actually have not used coconut oil on it yet. I've been doing mostly CJs. Which, obviously if that isn't working I need to try something else. If it clears up this weekend away from dc, I guess we'll have our answer.

unaveragejane · March 2014

DS get's a red dot rash if he's in a pee diaper too long...like if he sleeps late in the morning and doesn't have a fleece liner. But his clears up pretty easily as long as I keep him changed frequently the next day. It totally puzzles me that the disposables didn't help at all if it's caused by wetness or detergent. Could it possibly be heat rash???

TJ1979 · March 2014

Hmm. I don't think it's heat rash @unaveragejane.

If the DC was keeping her in sposies for too long without changing her though, wouldn't she still have the wetness issue?

unaveragejane · March 2014

Yes, it could be wetness then. I guess I thought you had her in the disposables over the weekend.

TJ1979 · March 2014

So waxelene?

stoneycakes · March 2014

I've been using Waxelene and it hasn't been helping

TJ1979 · March 2014

Possibly a little bit MK, but not nearly that red or irritated looking. I'll see if I can get a safe pic tonight.

TJ1979 · March 2014

TJ1979 said:

Possibly a little bit MK, but not nearly that red or irritated looking. I'll see if I can get a safe pic tonight.

The bumps look the same, but the skin around it doesn't, if that makes sense.

stoneycakes · March 2014

MK, that is exactly what DS's looks like. And the only thing I can do to get it to clear up is using sposies. It's getting downright depressing.

stoneycakes · March 2014

Chickypoo2468 said:

Is it actually bumps?

I think so, but not very raised. Is it the EOs that make it work better, because coconut oil alone has never helped.

stoneycakes · March 2014

Mapleme said:

Stoney, if you want to try something more powerful that waxalene this: https://www.honeygardens.com/propolis-salve/apitherapy-propolis-salve-85.html It's literally the only thing that's working for my eczema right now. It ain't cheap, but it's saved my skin. I just bought 5 of the tins and I still need more to last me to my due date. In normal situations one tin lasts me months, I'm just an eczema special snowflake right now.

I struggle with what to do about it. I think it's eczema exacerbated by wetness. I don't know if it's better for him to be covered in lotions and potions or to just use sposies when it acts up.

stoneycakes · March 2014

Sorry I high jacked your thread, TJ!

stoneycakes · March 2014

Sorry I hijacked your thread, TJ!

TJ1979 · March 2014

Chickypoo2468 said:

Is it actually bumps?

Were you asking me or stoney?

Yes, E's are actually bumps.

TJ1979 · March 2014

stoneycakes said:

Sorry I hijacked your thread, TJ!

Sorry enough to mention it twice apparently.

It's cook, I've been hijacking threads all day. And calling it high jacking. Oops.

TJ1979 · March 2014

Well crap @Mapleme‌ maybe that IS what it looks like.

Loriimagination · March 2014

Have you tried a little cortisone on it? If you don't have any waxelene, of course.

I need to get some. My cvs didn't have it.

TJ1979 · March 2014

I haven't. I thought steroids weren't good for the skin. I'd hate to use it if I don't really need to.

TJ1979 · March 2014

And she just leaked through a best bottom in 2 hours. Sigh. It's sad when your usual routines stop working.

CopperT0p · March 2014

@TJ1979 - The pic you posted looks like what DS2 had when he had a yeast infection. His wasn't the textbook Dr. Google image of yeast, but my midwife diagnosed it as that. It went away once I treated it like yeast.

TJ1979 · March 2014

Mmm, I didn't post a pic.

JEPES1348 · March 2014

zaraceligon said:

Gianotti-crosti syndrome
The Gianotti-Crosti syndrome is a characteristic response of the skin to viral infection in which there is a papular rash which lasts for several weeks. Other names sometimes used for this skin condition include papulovesicular acrodermatitis of childhood, papular acrodermatitis of childhood and acrodermatitis papulosa infantum.
The specific viruses causing Gianotti-Crosti syndrome include:
Hepatitis B infection
Epstein Barr virus (the cause of glandular fever)
Enterovirus infections
Echo viruses
Respiratory syncytial virus

**Stuck in the box. Goodness, Zara, informative, but I hope it's not this. It all sounds so sinister!**

stoneycakes · March 2014

Hey TJ, I was just thinking...this rash has shown up since you had problems with E leaking out of her diapers, right? You think it's a wetness sensitivity? Maybe eczema exacerbated by wetness? I think that's what my DS's is. Have you tried changing way more often and seeing if that helps?

TJ1979 · March 2014

@stoneycakes‌ That's what I think it is. Bc it seems better on the weekends. But I couldn't seem to get it through the DC's head to change more often.

TJ1979 · March 2014

MK it's just not that red and irritated looking. It's more like the bumps are red but the skin around the bumps are normal. It almost looks like little ant bites.

unaveragejane · March 2014

@Mapleme You cook with butterflies AND unicorn farts?!? What kind of health codes do they have in VT anyway?

TJ1979 · March 2014

Chickypoo2468 said:

TJ1979 said:
MK it's just not that red and irritated looking. It's more like the bumps are red but the skin around the bumps are normal. It almost looks like little ant bites.
I'm going to keep posting pics til I get a match.

I think we all appreciate as many pics of J's diaper area as possible. She looks a ton better today. If that keeps up I'm going to blame DC. (Which I basically already do.)

Chichigo · March 2014

@TJ1979‌ is she finished with that daycare now?

TJ1979 · March 2014

Chichigo said:
@TJ1979‌ is she finished with that daycare now?

YES!! Yesterday was her last day. Nanny starts Monday.

Chichigo · March 2014

Hurray for good child care!

stoneycakes · March 2014

Mapleme said:

Stoney, if you want to try something more powerful that waxalene this: https://www.honeygardens.com/propolis-salve/apitherapy-propolis-salve-85.html It's literally the only thing that's working for my eczema right now. It ain't cheap, but it's saved my skin. I just bought 5 of the tins and I still need more to last me to my due date. In normal situations one tin lasts me months, I'm just an eczema special snowflake right now.

FYI, I'm not sure where you get this, but it's much cheaper on Amazon

Buying some now!

Sincera4 · March 2014

We just dealt with a nasty rash for a month. We were in disposibles for that time but non-chlorine, chemicals... Blah blah because he's sensitive and it gets worse with the others.

We were using nystatin with a steroid and that really helped. We also gave him oatmeal and baking soda baths to ease the redness, followed by some nakey time.

We stopped using disposible wipes and used cloth (water, dr. Bronners and coconut oil) and patted him dry everytime and it cleared up much faster. He's finally back in cloth!

We are still patting him dry, using fleece liners and giving oatmeal-baking soda baths and so far so good.

Rash Update

Re: Rash Update

Gianotti-crosti syndrome

Who is affected?

Clinical features

Investigations

What is the outlook for Gianotti-Crosti syndrome

What treatment is available for the Gianotti-Crosti syndrome?

Gianotti-crosti syndrome

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