In the summer, will your baby's arms and legs be the same?
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Sometimes there are on the body.
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The large red pimples are extremely itchy, especially at night, and the itchy baby can't sleep at all! Is this a mosquito bite? Or eczema, hives? How to relieve itching and subside for the baby?
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I was really bitten by a mosquito! This skin manifestation is medically called papular urticaria, also known as insect bite dermatitis. Now this season, it's mostly because of mosquito bites, and then this red, wheal-like pimple appears.
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The individual shape is a bit like a spindle and has a hard texture to the touch. Some pimples also have blisters at the top, which will break and ooze.
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At the same time, it is accompanied by intense itching, which can make the child irritable and even affect sleep. In addition to mosquitoes, fleas, mites, lice, bed bugs, caterpillars, ants, etc., can also cause papular urticaria.
Especially children aged 1~7 years old, with delicate skin, are more likely to have allergic reactions after being bitten by mosquitoes, and are also more likely to grow blisters on the pimples, which are broken and ulcerated because of itching and scratching!
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So how to stop the itching and subside? This score situation.
If your child's skin is predominantly papules and erythema, and there is no pain or itching, then do not give the drug and wait for it to subside slowly. If it is only itchy and the pimples are not broken, you can apply calamine lotion topically, several times a day, at any time, to remove redness and relieve itching.
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If redness, swelling, blisters or induration have appeared, indicating that the inflammatory reaction is relatively severe, you can use topical desonide cream (available on the face) or hydrocortisone butyrate cream (not available on the face, available for the body), 1~2 times a day, apply around the blisters or papules to the induration, and observe for 3~7 days.
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These two are weak and medium potent hormone ointments, which have good anti-inflammatory and anti-itching effects, and are safe for children to use in the short term and topically!
If the blisters have broken and erosions appear, mupirocin cream or fusidic acid cream can be used to prevent infection. Apply a thin layer to the affected area 2 times a day to avoid secondary infection.
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Note! If the above drugs do not work after 1 week, or if the skin lesions are more severe, you need to see a doctor.
And don't apply any toilet water, wind oil essence, cooling oil, etc., these things not only have no therapeutic effect, but may also aggravate the child's skin damage because of irritation!
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How to distinguish it from urticaria and eczema?
In particular, urticaria can also form wheals on the surface of the skin, which, combined with itching, and local redness and swelling of the skin, are indeed easy to confuse.
Pictured is hives; Image source network
However, we can tell a thing or two from the name of the disease! One is urticaria and the other is papular urticaria. In other words, papular urticaria has relatively pronounced bumps on the surface of the skin. As well as the wheals of urticaria vary in size, but papular urticaria, its wheals are slightly more regular and often spindle-shaped.
Urticaria on the left; Papular urticaria on the right; Image source network
On top of that, the hives usually subside within 24 hours! Therefore, if the wheals on the surface of your child's skin disappear quickly, it is most likely hives. The wheals of papular urticaria last longer.
As for eczema, on the basis of erythema on the skin, pinheads, miliary sized papules, papules often appear. In severe cases, small blisters may appear that coalesce into patches. It is easy to erosify and exude.
Eczema on the left; Papular urticaria on the right; Image source network
Therefore, to distinguish eczema from papular urticaria, it is mainly based on the size of the rash. Papular urticaria has a large single rash that is not easily connected into patches.
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Finally, what should I pay attention to when taking care of it? For children, the hardest thing to endure with papular hives is itching! Therefore, when nursing your child, it is necessary to stop the itching in time. For example, apply calamine lotion or ice compress to avoid excessive scratching due to itching.
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You should also cut your nails frequently, pay attention to hand hygiene, wash your hands frequently, take a bath, and change your clothes frequently. The water temperature should not be too high when washing, 32~38°C is the best.
When there are blisters, try not to break them, and if they do, apply ointment in time. In the event of blister breaking, strenuous exercise should be avoided to avoid excessive sweating and secondary infection.
Do not apply raw aloe vera, garlic, or other medications that are not recommended by your doctor to avoid aggravating skin lesions or triggering contact dermatitis.
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A small number of children may experience temporary hyperpigmentation after the pimples have recovered. With sun protection, pigmentation will slowly dissipate over time. In terms of environmental hygiene, it is necessary to pay attention to: spray indoors reasonably with insecticides to eliminate bed bugs, fleas, mosquitoes, etc.; Change bedding frequently, wash and expose to the sun; Try not to use straw or bamboo weaving on the bed to avoid hiding small insects.
In the season of high incidence of mosquito bites, mosquito prevention measures should be taken. Use physical mosquito repellent such as mosquito nets, or chemical mosquito repellent such as electric mosquito repellent and insect repellent liquid. Try to wear long sleeves and pants when outdoors, and don't play in places with lush flowers and plants.