[NP-Clinical] Derm/Peds question

[Kimberly Spering]

Well, guess I worried for nothing...the rash is gone today.  Still feverish/URI symptoms, but nothing else...Oh well...chalk one up to the over-reacting mother...

Kim
  ----- Original Message ----- 
  From: Kimberly Spering 
  To: np-clinical at nurse.net 
  Sent: Thursday, January 18, 2007 10:09 PM
  Subject: [NP-Clinical] Derm/Peds question


  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
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://lists.nurse.net/pipermail/np-clinical/attachments/20070120/40b8454f/attachment.html