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Spring Weather Brings Spring Rashes

by Sue Hubbard, M.D.

Sunday evening at our house if often house call night. It is rather fun for my husband (and me) to have young children in our very quiet house. Seems I miss my college boys most on Sundays too, so house calls are therapy for everyone.

Tonight I saw a little girl who had a hive like (urticarial) rash on her trunk, arms, legs which seemed to migrate from place to place. Her parents had noticed the rash the night before and the father had given her some Benadryl before bed. She seemed fine, they didn’t think much about it, and then the rash returned later the following day. She was otherwise totally well. No fever, cough, breathing problems etc. and she was racing around pointing out her blotches that seemed to itch. She was otherwise oblivious.

This kind of rash is common in early spring as the pollens start to fly. Although parents rack their brains trying to figure out the instigating allergen, we typically never know. These are not hives that are associated with breathing problems and allergic reactions to foods or drugs. The treatment of choice is to keep the child from being overheated (hives will be more prominent and itch more), start an antihistamine like Benadryl, or a non-sedating medication like Claritin or Zyrtec. You can take these on a daily basis for several days and see if the rash goes away. If it does, I recommend staying on the antihistamine for several days even after the hives have resolved, then stop the medication and see if the hives return. These rashes are typically short lived, although on occasion the child may need to stay on antihistamine throughout the spring at which time you should have your child see their doctor.

That’s your daily dose, we’ll chat again tomorrow.

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