Why are there itchy red bumps in face, chest and forehead of five years old?

Question

Hi doctor,

This is in regard to my daughter who is 5 years old. Four days back suddenly she developed a fever. The fever was around 100 degrees F. Yesterday her fever subsided and now she does not have the same. She did not have a cough, cold, etc. But she lost her appetite and she also had a left eye white area red. The redness also has disappeared now. She did complain of a little bit of nausea and headache. But yesterday everything subsided and she recovered well. But, yesterday night we saw red bumps around her face, forehead, and chest area. It itches sometimes. I am attaching the image for your reference. These bumps are slightly raised. Rest she seems fine now. Her appetite has increased as well.

On the second day of her fever, she fainted briefly (a little bit of saliva came out from her mouth) for 5 to 10 seconds. She recovered quickly in a minute or two. This happened in the early morning when she woke up and stood. She had a moderately high fever throughout the night.

Answer 1

Hi,

Welcome to icliniq.com.

It is urticaria. It happens commonly in children with or post-infection like a fever. In your daughter’s case, that patient may develop this kind of rashes. It will need 5 to 7 days antihistaminics. Tablet Xyzal 5 mg daily for seven days. It is safe and does not have any major or common side effects. It will be fine in 1 to 2 doses but stop it after 5 to 7 days later. As the baby is otherwise fine, no need of other investigations at this moment.

But I would like to highlight a point to you that, the possibility of recurrent episodes may be there in future. Whenever it happens you may take Xyzal (Levocetirizine) in an emergency but consult the doctor too without much delay.