Skin Rash

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Skin rash?

A skin rash may require urgent care or may be a minor case, let's take a look.
Pharmacist

Let's narrow down the cause of the rash before you see what is available over-the-counter for skin rash.




Lady with skin rash

First, let's rule out situations that may require emergency care.

Continue

 

Rash, Hives, Bumps

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Is it an emergency?

With this rash, are you also experiencing shortness of breath?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Anaphylaxis

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


Nearest Clinic ER

 

 

Is your tongue or lips swollen with this rash?

Or throat feeling tight?
Pharmacist

 

Emergency!
Call 911.
Pharmacist

Ambulance

Here is why:

  • Possible anaphylactic reaction

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


Nearest Clinic ER

 

 

Do you feel like passing out in addition to the rash you have?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Need complete evaluation

Seek urgent care

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


Nearest Clinic ER

 

 

Is your pulse weak, rapid?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Anaphylactic reaction

Seek urgent care

Note:
We do not advice continuing. You should only continue if you are not experiencing the question asked.

If this is the case, tap  to start over.


Nearest Clinic ER

 

 

Does your skin feel flushed?
Pharmacist

 

 


Those questions were to rule out going to the emergency room.
Pharmacist

Let's see what the rash is all about if you are convinced it is not an emergency situation.

Continue

 

 

 

 

Rash

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Any fever?

Do you have any fever with this rash?
Pharmacist

Choose yes if you had fever that went away before the rash appeared in the past 1 or 2 weeks.

Yes, Fever No Fever

 

 

 

Rash

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Fever

Rash with a fever require you to see a doctor for further evaluation.
Pharmacist

In the meantime, let's see what you may be looking at.

 

Is this rash bright red with sand papery feeling?

First appearing on the neck and chest area?
Pharmacist

Yes No

 

 

 

 

Skin rash

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Scarlet fever?


Let's be sure you are not looking at scarlet fever.
Pharmacist

 

Do you also have a sore throat?
Pharmacist

 

Yes?
Hmmm. This is a major symptom of scarlet fever.
Pharmacist

A sore throat with high temperature is typically the first symptom of scarlet fever followed by a bright red rash.

 

Is the tongue coated with red spots?
Pharmacist

 

Yes?
This is a symptom of scarlet fever.
Pharmacist

In a few days, the whole tongue may look red.
(strawberry tongue)

 

Any muscle ache with this bright red, sand papery feeling rash?

Or headache?
Pharmacist

 

Yes?
A symptom of scarlet fever.
Pharmacist

Symptoms include:

  • Sore throat
  • Bright red rash
  • Strawberry tongue
  • Abdominal pain
  • Muscle ache or headache

 

Try pressing on the rash.

Did it turn white?
Pharmacist

 

Yes?
Scarlet fever rash would do this. This is known as blanching.
Pharmacist

 

Did the rash start as small red spots on the neck and upper chest.
Pharmacist

 

Yes?
Scarlet fever usually begin this way.
Pharmacist

 


We had to rule out scarlet fever.
Pharmacist

Symptoms of scarlet fever include:

  • High fever
  • Sore throat
  • Bright red rash
  • Rash that feel like sandpaper
  • Rash that turns white when you press on it.
  • Strawberry tongue
  • Pastia's lines
  • Abdominal pain
  • Vomiting
  • Muscle ache or headache

Bright red coloration of the creases under the arm and in the groin called Pastia's lines may develop while the rash is still red.

If these symptoms does not apply to you, let's make sure you are not looking at something like shingles or other serious skin rashes.

If you are thinking scarlet fever, seek urgent care as soon as possible.

Urgent Care Continue

 

 

 

 

Rash

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Shingles?

Before the rash appeared, did you experience a burning pain on one side of the body?

Or tingling sensation?
Pharmacist

No

 

Yes?
Let's make sure you are not looking at shingles or any rash that is a medical emergency.
Pharmacist

 

Is this rash like red patches on the skin?

Small blisters on the skin?
Pharmacist

 

Yes?
Hmmm. We may start suspecting shingles. But not so fast
Pharmacist

 

Does the rash involve a narrow area from the spine around to...

...the front of the stomach area or chest?
Pharmacist

 

Yes?
Alright, This is a symptom of shingles. But don't panic yet.
Pharmacist

 

Are you also experiencing headache?

Muscle weakness?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Need to rule out shingles.

Nearest Clinic

 


We just went through some symptoms of shingles.
Pharmacist

Symptoms include:

  • General ill-feeling
  • Headache
  • Drooping eyelid
  • Swollen glands
  • Problems with taste or vision
  • Trouble moving some facial muscles
  • muscle weakness

If you are thinking shingles, see our entry for shingles for a more detailed discussion.

If not shingles, then let's continue and see what may have caused the rash.

Shingles Continue

 

 

 

 

Skin rash

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Cellulitis?

Did the rash start suddenly?

Grew quickly in the first 24 hours?
Pharmacist

No

 

Yes?
Let's make sure you are not looking at cellulitis.
Pharmacist

 

Is the affected area red and warm to touch?
Pharmacist

 

Yes?

 

Is the area swollen and painful?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Suspect cellulites

Nearest Clinic

 

Does the area appear tight, stretched?

Or feel tender?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Suspecting cellulitis

Nearest Clinic

 


We just tried to rule out cellulities.
Pharmacist

Give a brief overview of cellulitis. See webMD.

If you think you are looking at one, seek urgent care.

Urgent Care Continue

 

 

 

 

Skin rash

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Rocky Mountain Spotted Fever?

Did this rash occur about 2 to 5 days after you had a fever?
Pharmacist

No

 

Yes?
Alright, let's try to rule out a serious illness like Rocky Mountain Spotted Fever.
Pharmacist

This can be deadly if not treated within the first 8 days of symptoms developing.

 

Do you remember any recent tick bites?
Pharmacist

 

Yes?

 

What about exposure to high uncut grass areas or tick infested areas?
Pharmacist

 

Yes?

 

Any recent travel to areas of high incidence of Rocky Mountain Spotted Fever?
Pharmacist

 

Yes?
This is how you can get rocky mountain spotted fever.
Pharmacist

 

Alright.
We just went through the various ways you can get rocky mountain spotted fever. If none apply to you let's continue.
Pharmacist

To be on the safe side, let's see the symptoms of rocky mountain spotted fever.

 

Yes?

 

Before the rash, did you experience very high fever?
Pharmacist

 

Yes?

 

What about shaking chills?

Nausea and vomiting?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Need detailed evaluation.

Nearest Clinic

 

Was there severe headaches?

Muscle aching all over?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Need further evaluation.

Nearest Clinic

 

Did this rash, after the fever, start as small, pink, non-itchy spots...

...On the Wrists, Forearms, Ankles?
Pharmacist

May spread to include most of the body later (including the palms and the soles).

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Have to rule out rocky mountain spotted fever.

Nearest Clinic

 


Those were signs and symptoms of rocky mountain spotted fever.
Pharmacist

If you suspect any of the signs discussed so far and you have been in contact with ticks, you should treat this as a medical emergency and see a doctor as soon as possible.

Urgent Care Continue

 

 

 

 

Skin rash

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hand, foot and mouth disease?

Did this rash appear along with very small blisters on the hands and feet?
Pharmacist

No

 

Let's make sure you are not looking at hand, foot and mouth disease.
Pharmacist

Though this is more common in children under 10, it can also happen to adults.

 

With this small blisters on the hands and feet, do you also have ulcers in the mouth?

Ulcers on the tongue?
Pharmacist

 

Yes?
This is a sign of hand, foot and mouth disease. Hence the name.
Pharmacist

 

Do you have fever with this small blisters on the hands and feet?

And headaches?
Pharmacist

 

Yes?
This is a sign of hand, foot and mouth disease.
Pharmacist

 

What about a sore throat or ulcer in the throat with this blisters on the hands and feet?
Pharmacist

 

Yes?
This is a sign of hand, foot and mouth disease.
Pharmacist

The ulcers in the throat would cause a sore throat.

 


Those were major signs of hand, foot and mouth disease.
Pharmacist

This is a viral disease that can be spread from person to person. You can catch it if you come into direct contact with saliva, fluid from blisters, nose and throat fluids from an infected person.

Know that there is no specific treatment for the infection other than relief of symptoms such as fever and sore throat. But don't panic, complete recovery occurs in 5 to 7 days.

If you think you are looking at hand, foot and mouth disease, give the doctor a call for a complete diagnosis. If not, let's continue and see what else you are looking at.

Urgent Care Continue

 

 

 

Rash

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Lyme disease?


Let's make sure you are not looking at Lyme's disease.
Pharmacist

You can get lyme disease if bitten by an infected tick.

Know that many people with Lyme disease never even feel, talk-less of seeing a tick on their body.

The deer tick that carries the bacteria can be so small that they are almost impossible to see.

 

Are you looking at a "bull's eye" rash with a clear area in the center?

This rash is expanding in size?
Pharmacist

 

Yes?
Hmmm. This can be a symptom of lyme disease.
Pharmacist

Usually there may be a "bull's eye" looking rash at the site of the tick bite. This rash will expand as time goes on hence the name erythema migrans.

CDC website describe the rash as:

  • Occurring in approximately 70-80% of infected persons.
  • Beginning at the site of a tick bite after a delay of 3-30 days (average is about 7 days).
  • Gradually expanding over a period of several days, and can reach up to 12 inches across.
  • Parts of the rash may clear as it enlarges, resulting in a “bull's-eye” appearance.
  • Rash usually feeling warm to the touch but is rarely itchy or painful.
  • Rash that may appear on any area of the body.
  • Some people may develop this rash at more than one place on their bodies.

 

Is this rash like a flat or slightly raised red spot that is expanding in size?

There may be a clear area in the center.
Pharmacist

 

Yes?
This can describe the rash of lyme disease.
Pharmacist

This red spot will expand in size as time goes on.

CDC website describe the rash as:

  • Occurring in approximately 70-80% of infected persons.
  • Beginning at the site of a tick bite after a delay of 3-30 days (average is about 7 days).
  • Gradually expanding over a period of several days, and can reach up to 12 inches across.
  • Parts of the rash may clear as it enlarges, resulting in a “bull's-eye” appearance.
  • Rash usually feeling warm to the touch but is rarely itchy or painful.
  • Rash that may appear on any area of the body.
  • Some people may develop this rash at more than one place on their bodies.

 

Alright.
Seek urgent care if those descriptions apply to you.
Pharmacist

You will need further evaluation and possibly if determined to be lyme disease, an antibiotic like doxycycline. The earlier you start this the better. Don't delay.

Note that:
There are other symptoms of lyme's disease especially flu-like symptoms. If you have a history of possible exposure to infected black-legged ticks and have flu-like symptoms without any rash, seek urgent medical attention.

If none of these apply to you, then let's continue.

Urgent Care

 

Yes?

 

Oh well,
if you have rash with fever, see a doctor for evaluation.
Pharmacist

It usually mean a viral or bacteria infection is going on. Do not delay.

Because it is our strong opinion that you must seek urgent care, we would not send you to a pharmacist for any over-the-counter recommendation. There is no need treating a symptom when it is going to get worse.

If you are just going through this, then let's continue to take a look at a
rash without fever
situation.

Urgent Care Continue

 

 

 

 

Skin rash

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No fever.

Let's figure out what may be causing this rash with no fever.
Pharmacist

 

Is the rash more of itching or more of blistering?
Pharmacist

Know that some can be both itchy and blistering. An example is poison ivy.

Itchy Blisters

 

 

 

 

Skin rash

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Itchy rash


Many things can cause an itchy skin rash.
Pharmacist

Examples include eczema, allergy, poison ivy, ringworm, heat rash to name a few.

Let's continue and see if we can narrow it down a little bit more.

 

Are you looking at itchy patches that are red to brownish gray colored?
Pharmacist

 

Yes?
You may be looking at eczema (also called atopic dermatitis).
Pharmacist

 

Are there areas of bumpy skin on the back of the arms and front of the thighs?
Pharmacist

 

Yes?

 

What about small, raised blisters, which may leak fluid and crust over when scratched?
Pharmacist

 

Yes?

 

Are the affected areas thickened, leather-like, cracked or scaly?
Pharmacist

 

Yes?
This is a symptom of eczema called atopic dermatitis.
Pharmacist

Other symptoms include:

  • Patches that are itchy and red to brownish gray colored
  • Areas of bumpy skin on the back of the arms and front of the thighs
  • Small, raised blisters

Would you like to visit our entry for eczema and see what a pharmacist recommend you use or Continue?

Eczema

 

Is the itching severe especially at night?
Pharmacist

 

Yes?
This is a symptom of eczema called atopic dermatitis.
Pharmacist

Symptoms include:

  • Patches that are itchy and red to brownish gray colored
  • Areas of bumpy skin on the back of the arms and front of the thighs
  • Small, raised blisters
  • Thickened, scaly areas
  • Itching especially at night.

Would you like to visit our entry for eczema and see what a pharmacist recommend you use or Continue?

Eczema

 


Those were some signs and symptoms of eczema.
Pharmacist

If they apply to you, see our topic on eczema for a more specific discussion. If not, let's continue and check other things out.

Eczema Continue

 

 

 

 

Skin rash

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Ringworm?

Is this a patch or group of patches that is roughly circular ring-shaped?

And red-colored?
Pharmacist

No

 

Let's make sure you are not looking at a ringworm infection?
Pharmacist

 

Is this a patch or group that has slightly raised border that expands outward?
Pharmacist

 

 

Are you looking at a patch with a center that may be clear, scaly..

..or marked with a scattering of red bumps?
Pharmacist

 

Yes?
More than likely looking at ringworm.
Pharmacist

Would you like to see our entry for ringworm infection or you don't think it is ringworm? If you don't think it is ringworm, let's continue.

Ringworm Continue

 

Alright.
Those were signs of a ringworm infection.
Pharmacist

If you think you may be looking at a ringworm infection, see our entry on ringworm.

Otherwise, let's continue and see if you can narrow down the rash.

Ringworm Continue

 

 

 

Skin rash

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Hives?

Are you looking at red or skin-colored raised welts (wheals, or swellings) on the surface of the skin?

With clearly defined edges?
Pharmacist

No

 

You may be looking at hives.
Pharmacist

 

Press on the center of a wheal.

Did it turn white?
Pharmacist

 

Yes?
May be looking at hives. This is called blanching.
Pharmacist

If you think you are looking at hives, would you like to see our entry for hives?

Or continue to see what this rash may be about if you don't think it is hives.

Hives Continue

 

No?
Hives will turn white. This is called blanching.
Pharmacist

If you think you are looking at hives, would you like to see our entry for hives?

Or continue to see what this rash may be about if you don't think it is hives.

Hives Continue

 

 

 

 

Skin rash

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Heat rash?

Is this like clear or red bumps (papules) causing a prickly feeling in the affected area?

Like 'pins-and-needles' prickling sensation.
Pharmacist

No

 

You may be looking at a heat rash. Let's take a look.
Pharmacist

 

Is the affected area very itchy?
Pharmacist

 

Yes?

 

Is this mainly in the skin folds?

Like the face, neck, under the breasts and under the scrotum?
Pharmacist

 

Yes?
More than likely looking at a heat rash.
Pharmacist

 

Is this mainly in the areas where clothing causes skin friction.

Such as the back, chest, and stomach?
Pharmacist

 

Yes?
More than likely looking at a heat rash.
Pharmacist

List the signs of a heat rash.

 

Is the affected area mainly an area with little or no sweating?
Pharmacist

 

Yes?
Possibly looking at a heat rash.
Pharmacist

Heat rash occurs when the sweat duct gets plugged due to dead skin cells or bacteria.

The trapped sweat leads to prickling, itching and to a rash of very small blisters.

 


We just went through the signs of a heat rash.
Pharmacist

If you suspect a heat rash, let's continue and see what the pharmacist has available over-the-counter to help with this.

If not let's check out other rashes and see what you may be experiencing or do you want to just see the nearest urgent care?

Or do you want to just see the nearest urgent care clinic to you?

Urgent Care Continue

 

 

 

 

Skin Rash

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Is the rash at point of contact with example perfumes, jewelry?

And scaly?
Pharmacist

 

Possibly looking at contact dermatitis.
Pharmacist

Expand a little on contact dermatitis.

 

Is this rash at the point of bite?

And sprinkled randomly?
Pharmacist

 

Yes?
More than likely looking at insect bites.
Pharmacist

Check out the insect bites section for a more detailed discussion.

Insect Bites

 


There are other causes of red, itchy rashes that are not covered here.
Pharmacist

It would be a good idea to take a look at blistering rash.

Or do you think you should seek urgent care from the discussions so far?

Urgent Care Continue

 

 

 

Skin Rash

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Blisters?

Blistering rash which can also be itchy include impetigo, poison ivy, scabies to name a few.
Pharmacist

Let's take a quick look at a few.

 

Are you looking at red sores that pop, ooze for a few days..

..and then form yellowish or honey colored crusts?
Pharmacist

No

 

Yes?
Probably looking at impetigo.
Pharmacist

 

Is this like red sores which may have started as a spot..

..but spreading to other areas with scratching?
Pharmacist

 

Yes?
Suspecting impetigo. A highly contagious bacteria infection.
Pharmacist

Though it is more common in children, adults can develop it after another skin infection or following a cold or viral infection.

You will have to seek urgent care for this. It is a bacteria infection that has to be treated with antibiotics.

Would you like to see the nearest urgent care clinic to you or Continue?

Urgent Care

 

Are you experiencing red sores on the face, lips, arms, or legs, that spread to other areas?
Pharmacist

 

Yes?
Suspecting impetigo. A highly contagious bacteria infection.
Pharmacist

Though more common in children, adults can develop it after another skin infection or following a cold or viral infection.

You will have to seek urgent care for this. It is a bacteria infection that require antibiotics.

Would you like to see the nearest urgent care clinic to you or Continue?

Urgent Care Continue

 

Alright.
Those were a few signs of impetigo.
Pharmacist

Impetigo is a bacteria infection that is highly contagious. You will need to seek urgent care or see a doctor for this.

It can develop after another skin infection or following a cold or viral infection.

Urgent Care Continue

 

 

 

 

Skin rash

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Poison ivy?

Does this rash look like a red, blistering straight line streak..

..probably on the hand or leg?
Pharmacist

No

 

Let's make sure you are not looking at poison ivy.
Pharmacist

 

Have you or anyone in the house been out in the woods the past 2 weeks or so?
Pharmacist

 

Yes?

 

Is this blistering rash red and itchy?

With a burning sensation?
Pharmacist

 

Yes?
This is a sign of poison ivy.
Pharmacist

If you think you are looking at poison ivy, would you like to see our entry for poison ivy for a more detailed discussion or Continue.

Poison Ivy Continue

 

Alright.
We briefly went through the signs of poison ivy.
Pharmacist

If you think this is what you are looking at, see our discussion on poison ivy for a more detailed analysis. If not let's continue.

Poison Ivy Continue

 

 

 

 

Skin Rash

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Scabies?

Are you looking at very itchy gray, brown or red lines?
Pharmacist

No

 

Let's make sure you are not looking at scabies.
Pharmacist

 

Are you mainly experiencing itching on the wrist?
(mainly the inner part)

Itching in the elbows?
Pharmacist

 

Yes?
You may start suspecting scabies infestation.
Pharmacist

 

Is this itching very intense especially at night

And you are seeing small red bumps?
Pharmacist

 

Yes?
Suspecting scabies infestation.
Pharmacist

You should suspect scabies if the questions asked so far apply to you and you have been in contact with someone with scabies the last 2 months or so.

If you think you are leaning towards scabies, check out our entry for scabies. Else let's Continue.

Scabies Continue

 

Alright.
Those were main signs and symptoms of a scabies infestation.
Pharmacist

If they did not apply to you, you may not be looking at a scabies infestation.

If you suspect something, see our entry for scabies for a more detailed analysis.

Scabies Continue

 

 

 

 

Skin rash

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Psoriasis?

Are these patches of skin that is flaky, pink - red and irritated?
Pharmacist

No

 

Let's rule in or out psoriasis.
Pharmacist

 

Are the affected areas dry and covered with silvery, flaky skin like scales?
Pharmacist

 

Yes?
Probably looking at psoriasis going on.
Pharmacist

 

Is this area of skin thick and raised from the skin surface?
Pharmacist

 

Yes?
This is one of the sign of psoriasis.
Pharmacist

 

Do you experience dandruff pretty bad?
Pharmacist

 

Yes?
People with psoriasis may experience severe dandruff.
Pharmacist

 


We just went through the signs of psoriasis briefly.
Pharmacist

Psoriasis is a common skin condition that causes skin irritation.

With psoriasis, you may experience thick, raised, red to pink skin with flaky, silver-white patches called scales.

If you think you are looking at psoriasis or have a family history of psoriasis, see a doctor for a more detailed evaluation.

Continue

 

 

 

Skin rash

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Alright.
Hope you have an idea what is causing this rash by now.
Pharmacist

Skin rash is the skin reacting to something. It is always better to get rid of the underlying cause.

Assuming you are looking at a minor skin irritation, let's see what is available for skin rash over the counter.

Or do you think you should seek urgent care after all these discussions?

Urgent Care Pharmacist