Summary
A rash is a change of the human skin that affects its color, appearance, or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, cracked or blistered, swell, and may be painful. The causes, and therefore treatments for rashes, vary widely. Diagnosis must take into account such things as the appearance of the rash, other symptoms, what the patient may have been exposed to, occupation, and occurrence in family members. The diagnosis may confirm any number of conditions. The presence of a rash may aid diagnosis; associated signs and symptoms are diagnostic of certain diseases. For example, the rash in measles is an erythematous, morbilliform, maculopapular rash that begins a few days after the fever starts. It classically starts at the head, and spreads downwards. Common causes of rashes include: Food allergy Medication side effects Anxiety Allergies, for example to food, dyes, medicines, insect stings, metals such as zinc or nickel; such rashes are often called hives. Skin contact with an irritant Fungal infection, such as ringworm Balsam of Peru Skin diseases such as eczema or acne Exposure to sun (sunburn) or heat Friction due to chafing of the skin Irritation such as caused by abrasives impregnated in clothing rubbing the skin. The cloth itself may be abrasive enough for some people Secondary syphilis Poor personal hygiene Uncommon causes: Autoimmune disorders such as psoriasis Lead poisoning Pregnancy Repeated scratching on a particular spot Lyme disease Scarlet fever COVID-19 (see ) The causes of a rash are numerous, which may make the evaluation of a rash extremely difficult. An accurate evaluation by a provider may only be made in the context of a thorough history, i.e. medications the patient is taking, the patient's occupation, where the patient has been and complete physical examination. Points typically noted in the examination include: The appearance: e.g.
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