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Anywhere, CO 80134
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  • Select from over 100 symptoms to read more about managing your child's illness.

    Is Your Child Sick? TM


    Roseola

    Is this your child's symptom?

    • Widespread fine pink rash caused by Roseola virus
    • Classic feature is that the rash is preceded by 2 or 3 days of high fever
    • The fever goes away before the rash starts
    • A doctor has told you that your child probably has Roseola or
    • Rash occurs after several days of fever, but fever gone now

    If NOT, try one of these:


    Symptoms of Roseola

    • Most children get Roseola between 6 months and 3 years of age.
    • Rash: Pink, small, flat spots on the chest and stomach. Rash is the same on both sides of the body. Then spreads to the face.
    • Classic feature: 2 or 3 days of high fever without a rash or other symptoms.
    • The rash starts 12 to 24 hours after the fever goes away.
    • The rash lasts 1 to 3 days.
    • By the time the rash appears, the child feels fine.

    Cause of Roseola

    • Human herpes virus 6 (HHV6)

    Viral Rashes and Drug Rashes

    • Prescription drugs sometimes cause widespread rashes.
    • Non-prescription (OTC) drugs rarely cause any rashes.
    • Most rashes that occur while taking an OTC drug are viral rashes.
    • Fever medicines (acetaminophen and ibuprofen) cause the most confusion. Reason: Most viral rashes start with a fever. Hence, the child is taking a fever med when the rash starts. But, the fever med had nothing to do with the rash.
    • Drug rashes can't be diagnosed over the phone.

    Prevention

    • Good hand washing can prevent spread of infection.

    When to Call for Roseola

    When to Call for Roseola

    Call 911 Now

    • You think your child has a life-threatening emergency

    Call Doctor or Seek Care Now

    • Rash becomes purple or blood-colored
    • Large blisters on skin
    • Your child looks or acts very sick
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • Fever comes back
    • Rash becomes worse
    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Rash lasts more than 4 days
    • You have other questions or concerns

    Self Care at Home

    • Roseola rash

    Call 911 Now

    • You think your child has a life-threatening emergency

    Call Doctor or Seek Care Now

    • Rash becomes purple or blood-colored
    • Large blisters on skin
    • Your child looks or acts very sick
    • You think your child needs to be seen, and the problem is urgent

    Call Doctor Within 24 Hours

    • Fever comes back
    • Rash becomes worse
    • You think your child needs to be seen, but the problem is not urgent

    Call Doctor During Office Hours

    • Rash lasts more than 4 days
    • You have other questions or concerns

    Self Care at Home

    • Roseola rash

    Care Advice for Roseola

    1. What You Should Know About Roseola:
      • Most children get Roseola between 6 months and 3 years of age.
      • It's the most common rash in this age group.
      • By the time they get the rash, the fever is gone. The child feels fine.
      • The rash is harmless and goes away on its own.
      • Here is some care advice that should help.
    2. Treatment:
      • No treatment is needed.
      • Creams or medicines are not helpful.
    3. Moisturizing Cream for Itch:
      • Roseola usually is not itchy. If your child's rash is itchy, here are some tips.
      • Use a moisturizing cream (such as Eucerin) once or twice daily.
      • Apply the cream after a 5 or 10-minute bath. (Reason: Water-soaked skin feels less itchy).
      • Avoid all soaps. (Reason: Soaps, especially bubble bath, make the skin dry and itchy).
    4. Fever Medicine:
      • For fevers above 102° F (39° C), give an acetaminophen product (such as Tylenol).
      • Another choice is an ibuprofen product (such as Advil).
      • Note: Fevers less than 102° F (39° C) are important for fighting infections.
      • For all fevers: Keep your child well hydrated. Give lots of cold fluids.
      • Note: By the time the rash occurs, the fever should be gone. If your child has both, see Rash or Redness - Widespread care guide.
    5. What to Expect:
      • Roseola rash goes away in 2-3 days.
      • Some children with Roseola just have 3 days of fever without a rash.
    6. Return to Child Care:
      • Once the rash is gone, the disease is no longer contagious.
      • Your child can return to child care or school.
      • Children exposed to your child earlier may come down with Roseola in 9-10 days.
    7. Call Your Doctor If:
      • Fever comes back
      • Rash lasts more than 4 days
      • You think your child needs to be seen
      • Your child becomes worse

    And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

    Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

    Copyright 2000-2019 Schmitt Pediatric Guidelines LLC.