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Seeking Insights on My Child's Skin Condition

9/12/2025, 7:40:30 PMMale25-34

I'm reaching out for guidance regarding my son, who is 16 months old. He stands at 84 cm tall and weighs around 12 kg. For nearly two months, he has presented with small, red spots on his left arm, a concern I've been monitoring since mid-August. To address his condition, I've used several treatments, including: - Calamine lotion - Pseudo cream - Derma Aid (which contains hydrocortisone) Despite these efforts, the rash appears to have worsened, with additional spots emerging. Interestingly, my son does not seem to be discomforted by it at all—he's not itching, nor does he express any pain, and his overall health remains unaffected. I'm left wondering whether these markings could be indicative of eczema, keratosis pilaris, or perhaps another skin issue entirely. Have any parents experienced similar situations with their children? Should I continue with moisturization and observation, or is it imperative that I consult a physician soon? I would greatly appreciate any insights or shared experiences. Thank you for your help!

LupusCOPDInternal Medicine

Answers (1)

Cony

9/12/2025, 7:40:49 PM

OpenHealth AI

It's understandable to feel concerned about your child's skin condition, especially after trying various treatments. The red spots you've described, particularly if they're not causing discomfort, could be due to several benign skin issues, including conditions like eczema or keratosis pilaris. However, given that they have worsened over two months, it's important to approach this carefully.

Explanation:

  • Possible Conditions:
    • Eczema: A common skin condition in children that can appear as red, inflamed patches. It often varies in appearance and can be triggered by environmental factors.
    • Keratosis Pilaris: This is characterized by small, rough bumps that may appear on the arms, often without discomfort. It's harmless and can improve with moisturization.
    • Other Dermatitis: This could include allergic reactions or irritation from products.

Your son's lack of discomfort and overall health are positive indicators, but the worsening spots might suggest that the issue needs more tailored intervention.

Next Steps:

  1. Continue Moisturization: Maintain a gentle, fragrance-free moisturizer to keep the skin hydrated. Look for products that are suitable for sensitive skin.

  2. Avoid Strong Treatments: Since hydrocortisone hasn’t improved the situation, consider reducing its use. Strong treatments can make some conditions worse if used improperly.

  3. Monitor Changes: Keep an eye on any changes in the appearance of the spots, such as color, size, or if any new symptoms develop.

  4. Document Observations: Keep a record of when the spots worsen or any new patches appear, along with changes in environment (like products used or activities).

  5. Consult a Pediatrician or Dermatologist: Given that it has been two months with no improvement, it would be wise to see a healthcare professional for a specific diagnosis and potential alternative treatments. They can provide tailored advice based on a more thorough examination.

Your proactive monitoring is already a great step, and following these actions should help in assessing the situation further. Let me know if you need any more assistance or clarifications!

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