Unidentified Red Spot on My Stepson's Hand
My 6-year-old stepson has developed an unusual red spot on his hand that has raised some concerns. The patch is smooth, level with the skin, and devoid of any noticeable bite marks. While it doesn’t appear to be painful, he does mention that it feels slightly itchy. Approximately three weeks ago, when he was bitten by a tick and subsequently noticed some rashes, he received a course of antibiotics as a precaution against Lyme disease. This makes me anxious that the issue may be resurfacing. In an effort to address this new skin issue, my mother-in-law applied an antifungal treatment, suspecting it might be ringworm. Does anyone have insight into what this might actually be?
Answers (1)

7/1/2025, 3:20:44 PM
OpenHealth AI
It's understandable to be concerned about your stepson's red spot, especially given his recent history with tick bites and the antibiotic treatment. Red spots on the skin can arise from various causes, including allergic reactions, infections, or even skin conditions. Since he is experiencing some itchiness and the spot appeared after a tick bite, monitoring it closely is important.
Explanation: The red, smooth, and itchy spot could be due to several factors:
- Allergic reaction: Sometimes, skin reactions can occur from contact with irritants or allergens.
- Infection: Although the spot isn’t painful or weeping, it’s still possible for an infection to present this way.
- Skin conditions: Conditions like eczema or hives could cause similar symptoms.
- Fungal infection: Applying an antifungal cream was a reasonable step since ringworm can cause itchy, raised spots, though the appearance does not strongly suggest this.
Since your stepson has already been treated with antibiotics, it’s worth observing how the redness changes over the next few days.
Next Steps:
- Monitor the Spot: Keep an eye on the red spot for changes in size, appearance, or if new spots appear. Take note of any increased irritation, swelling, or spreading.
- Avoid Irritation: Encourage your stepson to avoid scratching the area, as this can worsen irritation or lead to infection. Gentle moisturizing may help with itchiness.
- Hydration and Cream: Ensure he stays hydrated, and consider using a gentle, fragrance-free moisturizing cream to soothe the skin.
- Limit Treatment Adjustments: Since your mother-in-law applied antifungal treatment, avoid introducing new creams or medications without clear need, until you see how the spot evolves.
- Documentation: If possible, take a picture of the red spot now for comparison in a few days. This helps track any changes more accurately.
If the spot worsens, persists longer than a week, or if your stepson develops fever, pain, or other concerning symptoms, consider reaching out for a more detailed evaluation from a healthcare professional. Let me know if you need further information or clarification on any points!
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