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Pin point rashes
My 2 year old daughter has pin point rashes come and go from last one year with no other symptom . Blood tests done all are ok . Steroids were given no improvement . Kindly help
Answers (5)
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It’s not an infection or a blood disorder. No evidence of internal illness if bloods are normal.
It could be:
Keratosis Pilaris: Common, benign skin condition. Pinpoint, rough papules (often on thighs, arms). Worse in dry weather or with poor moisturization. Not itchy or painful usually.
Chronic Folliculitis or Heat Rash (Miliaria): Mild inflammation of hair follicles, may wax and wane. Triggered by heat, sweat, tight clothing, or dryness.
Non-specific Dermatitis or Hypersensitivity Rash: Could be due to detergents, soaps, clothing materials. Often poorly responsive to steroids unless allergen is avoided.
Food-related or contact urticaria (Atypical presentation): Recurrent pinpoint rashes, usually itchy. May have no consistent lab findings.
Next Steps
Daily moisturization with urea/lactic acid-based lotion
Avoid hot water baths. Use lukewarm water only.
Mild soap like Cetaphil Baby Wash, Sebamed Baby Cleansing Bar.
Use soft cotton clothes. Avoid wool, synthetics, or tight clothing.
Chronic use can thin the skin and worsen things.
Shift focus to barrier repair and hydration.
Health Tips
Red flags:
Rash spreads or worsens
Becomes painful or infected (pus)
Associated with fever, swelling, or joint pains
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First show to Dermatologist instead of online consultation
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Pinpoint rashes persisting for over a year without systemic symptoms and not responding to steroids may indicate a non-allergic, possibly vascular or hematological cause. Common possibilities include petechiae, which could be due to low platelet count, vascular fragility, or rare dermatological conditions like pigmented purpura or chronic urticaria variants. Since steroids have shown no improvement, this is unlikely to be an allergic or autoimmune rash
Next Steps
I recommend a pediatric dermatologist and a pediatric hematologist. Basic investigations like CBC with platelet count, peripheral smear, PT/APTT, ANA, and skin biopsy (if advised) may be necessary to rule out underlying causes. Clinical examination is essential
Health Tips
Avoid applying any over-the-counter creams without medical advice. Do not repeat steroid therapy unless prescribed after specialist evaluation. If any new symptoms develop like fever, bruising, or bleeding, seek urgent care.
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Dr. Sachin Pariskar
Pediatrician
8 yrs exp
Pune
Kindly consult once physically to nearby pediatrician once again
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Dr. Jyothi
Pediatrician
2 yrs exp
Hyderabad
With all due respect, online consultation won't be helpful.
Kindly consult a pediatric hemato-oncologist or a pediatric rheumatologist for further evaluation and management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.