How many days does it take for a toddler to develop a rash in the case of sudden rash syndrome?

Written by Yan Xin Liang
Pediatrics
Updated on September 23, 2024
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If it's roseola infantum, it is a febrile rash disease. Generally, fever might last about two to three days. After that, a rash will appear, usually after the fever settles down. Initially, this rash typically starts on the face and head, and then spreads to the trunk, chest, back, and can even cover the entire body. These rashes are small papules and generally fade away within two to three days without leaving any scars. Once the rash appears, there's no need to worry, as the body temperature should start to decrease.

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Written by Yao Li Qin
Pediatrics
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How to determine baby rash?

Roseola infantum is a common acute exanthematous infectious disease in pediatrics, also known as baby roseola, caused by human herpesvirus types 6 and 7. To determine whether it is roseola, the main criteria are if the child is under two years old, especially infants aged 7 to 13 months, who exhibit a persistent high fever. During the fever, if the child’s fever subsides, they appear in good spirits and do not have other complications, then roseola should be highly suspected. In such cases, symptomatic treatment should be provided first, with a focus on hydration. If the temperature exceeds 38.5℃, give the child fever-reducing medication and continue to observe at home due to the persistent high fever, which lasts three to four days. Once the child’s temperature suddenly drops, carefully observe whether a rash appears on the trunk, neck, limbs, and facial area. If these symptoms are present, which match with the history of a high fever lasting three to four days followed by the appearance of a rash, the diagnosis is roseola infantum.

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Written by Gong Hui
Pediatrics
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What age do children typically get roseola?

Exanthem subitum in infants is a viral infectious disease caused by human herpesvirus type 6 and type 7. Newborns initially acquire protective antibodies from their mothers. Generally, after five to six months, as antibody levels decrease, the likelihood of contracting a virus such as human herpesvirus increases. The peak age for contracting exanthem subitum is between six months and two years, although this can vary. Children aged three to four, who have not contracted exanthem subitum or the human herpesvirus before the age of two, can still contract the disease.

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Written by Hu Qi Feng
Pediatrics
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What are the symptoms of roseola infantum?

Roseola infantum commonly occurs in infants under one year old, caused by human herpesvirus type 6 infection. It typically presents with very high fever, with temperatures often reaching 39-40 degrees Celsius, and throat congestion. However, the patient generally remains in good condition without obvious symptoms of infection or poisoning. Blood tests are generally normal, indicating a viral infection. Symptomatic treatment is given, and about three to five days later, the temperature abruptly drops. One to two days after the temperature returns to normal, a red, rose-like rash appears, primarily on the head, face, and trunk, consistent with the clinical manifestations of rash following the resolution of the fever.

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Written by Yan Xin Liang
Pediatrics
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What is roseola infantum?

Roseola infantum is a disease characterized by a fever, followed by a rash after the fever subsides. This disease is caused by an infection with human herpesvirus type 6 or type 7. Typically, it starts with a fever lasting three to five days, which can be moderately high. Generally, a rash appears after the fever subsides, primarily on the torso but it can also spread to the limbs. The rash usually fades within about two days and leaves no scars once it has disappeared.

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Written by Yao Li Qin
Pediatrics
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Causes of Baby Rash

Infantile roseola, also known as roseola infantum, is a common acute exanthematous infectious disease in infants and young children, mostly occurring under the age of two, with a peak incidence between 7 to 13 months of age. It is rare in children younger than three months and older than four years. The disease primarily occurs as sporadic infections, followed by lasting immunity, with occasional second occurrences. The main cause of roseola in infants is the herpes virus, specifically human herpesvirus types 6 and 7, which are the main pathogens. Other viruses, such as Coxsackievirus A16, adenovirus, and parainfluenza virus, can also cause roseola in infants.