[NP-Clinical] Derm/Peds question

[Kimberly Spering]

I have a request for help from anyone in peds or derm (Ted, help please?).  I think I'm being an over-reacting Mom here, but my 4 year-old son came home today with an odd, localized rash only on his left lateral neck area...and derm is not my stellar subject.

He has had URI symptoms for over a week; this afternoon he broke out in a rash that is localized only on his left lateral neck, about a 2-inch area total.  It is mostly a macular, pinpoint pink rash (very, very slightly raised later this evening).  No known bites, contact dermatitis, or injury per his day care teachers.  He felt warm-to-touch last evening but no fever until tonight--he started with a temp of 101.2 orally, complains of headache, "eyes hurting," and joint aches.  No nuchal rigidity, n/v, or change in LOC.  No other health issues since having ear tubes, which fell out over 1 year ago.  Being the over-reactive Mom, I of course assumed the worst and went looking up rashes associated with meningitis--but found that most were a vasculitis-type phenomenon--definitely NOT what I'm seeing here.

The only viral rashes associated with a URI that I ever saw in family practice were generalized, or truncal/limb involvement.  I've never seen anything like this one, and checking on Ted's four derm sites and in three books were futile.

Any help would be most appreciated, so I know if there is anything to worry about.  (Sorry--this is my baby!)

Thanks in advance~

Kim Spering
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