Inquiry About My Son's Skin Condition
I have a two-year-old son who seems to be in good health, but I'm seeking clarification on a potential skin issue. His pediatrician has seen him before for what turned out to be a saliva rash, which he experiences occasionally during teething due to excessive drooling. I believe the use of his pacifier has contributed to the severity of these rashes in the past. Recently, our doctor suggested that he might have either another saliva rash or hand, foot, and mouth disease (HFM), but they were unable to definitively diagnose either condition. Here are a few specifics regarding his current state: - He hasn’t exhibited any fever; I've checked his temperature rectally. - There are some minor rashes present on his legs. The pediatrician inquired whether we'd been spending a lot of time outdoors, as the rashes resemble those of poison ivy, which is abundant on our property. - Notably, there’s no rash on his hands or feet, although I’m aware that sometimes these conditions can only manifest around the mouth. - I have not observed any sores inside his mouth; it’s challenging to get a look because he resists, but he is having significant difficulty eating and drinking. Our doctor mentioned that this could also relate to teething. - I can see that his two canine teeth are currently emerging through the gums. I'm reaching out for support and guidance. Could this be HFM? I’m eager for clarity on his condition, even though I understand that diagnosing it can be difficult. Based on the details mentioned, what are your thoughts?
Answers (1)
7/20/2025, 4:20:35 PM
OpenHealth AI
Based on the information you provided, it's understandable to seek clarity on your son's skin condition, especially given his age and teething troubles. The symptoms you've described could suggest a few possibilities, including a saliva rash or potentially hand, foot, and mouth disease (HFM), but there are key details to help narrow it down.
Explanation:
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Saliva Rash: This is common in toddlers, particularly during teething when drooling increases. It usually appears as red, irritated areas where saliva has come into contact with the skin, often around the chin and neck.
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Hand, Foot, and Mouth Disease (HFM): This condition, caused by viruses such as coxsackievirus, typically presents with sores in the mouth, a rash on the hands and feet, and sometimes a fever. Since your son does not have sores in his mouth and is not exhibiting a rash on his hands or feet, it seems less likely to be HFM.
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Other Considerations: The rashes on his legs, particularly with the family setting that includes possible exposure to poison ivy, could suggest contact dermatitis if he has been in an area with these plants. Teething can also cause some fussiness and difficulty eating without being directly linked to these skin issues.
Next Steps:
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Monitor Symptoms: Keep an eye on his rashes over the next few days for any changes, especially if new rashes develop or if current rashes get worse.
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Skin Care: Gently clean the affected areas to remove any irritants. You might consider using a barrier cream (like zinc oxide or petroleum jelly) to protect the skin from saliva, especially during teething.
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Hydration & Eating: Since he is having difficulty eating and drinking, ensure he stays well-hydrated. Offer soft foods and plenty of fluids—consider cool items like yogurt or applesauce, which may be soothing on his sore gums.
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Limit Exposure: If you suspect exposure to poison ivy, ensure he avoids those areas for now to prevent further irritation.
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Daily Monitoring: Check for any additional symptoms like fever or more extensive rashes, and note any changes in his behavior or eating habits.
If his symptoms worsen, if you do see sores develop in the mouth, or if he seems increasingly uncomfortable, it would be wise to consult his pediatrician again for further evaluation. You’re doing a great job caring for him, and addressing these concerns early is always a good approach. Let me know if you need more information!
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