How to treat roseola infantum?

Written by Yao Li Qin
Pediatrics
Updated on April 21, 2025
00:00
00:00

Pediatric acute rash is a common febrile rash disease seen in infants and young children, mostly occurring between six months to one and a half years old. Its main symptom is a fever for three days followed by a rash as the fever subsides. Before the rash appears, it is not known to be pediatric acute rash. The treatment mainly involves symptomatic management, as it is caused by a viral infection, so some antiviral medications can be taken. Symptomatic treatment primarily involves reducing fever. The principle for fever reduction is that if the body temperature exceeds 38.5 degrees Celsius, give the child fever-reducing medication, such as ibuprofen suspension; below 38.5, physical cooling methods are sufficient. Once the fever has lasted three days and the rash appears confirming pediatric acute rash, all medications can be discontinued. The child should drink plenty of water and rest. Generally, the rash will fully develop within about 24 hours, and then naturally subside over the following three to five days.

Other Voices

doctor image
home-news-image
Written by Huang Kun Mei
Pediatrics
47sec home-news-image

What causes roseola in infants?

Exanthema subitum in children is caused by a viral infection, generally starting abruptly with a fever above 39°C, and a rash appears as the fever subsides. The rash is roseola. During the period of exanthema subitum, it's important to avoid drafts, ensure indoor ventilation twice a day, and keep the air fresh. Since exanthema subitum is caused by a viral infection, it is necessary to treat children with antiviral medications. It is recommended to use traditional Chinese medicine antivirals because they tend to have fewer side effects. During the exanthema subitum period, avoid going out, and children should not attend kindergarten to steer clear of crowded places.

doctor image
home-news-image
Written by Yan Xin Liang
Pediatrics
1min 5sec home-news-image

How to deal with baby roseola

For the nursing methods of infantile sudden rash, it is important to note that first, the child should drink more water to replenish sufficient fluids. The initial symptom of infantile sudden rash is fever, but too high a body temperature can cause excessive loss of water in the baby, and drinking more water not only replenishes fluids but also helps to reduce fever, Secondly, physical cooling should be used. During periods of high fever, physical cooling methods such as using cold packs or warm water baths should be employed to help reduce the child's body temperature while maintaining cleanliness and hygiene, During the child's visit to the clinic, it is necessary to keep the indoor environment ventilated and clean, bathe the baby in a timely manner, and keeping the skin fresh is also beneficial for eliminating toxins. Additionally, a healthy diet is crucial during the emergency period; although the baby might not show abnormalities, attention must be paid to the diet, especially for breastfed babies, where the mother herself must ensure a healthy and nutritious diet.

doctor image
home-news-image
Written by Yan Xin Liang
Pediatrics
43sec home-news-image

Do toddler exanthemata itch?

Roseola infantum is an acute febrile developmental disease caused by human herpesvirus type 6, and in some cases, by human herpesvirus type 7. Generally, the fever lasts three to five days, and a rash appears after the fever subsides, typically lasting about two days before fading. If there are no complications, recovery is usually swift. The rash in roseola infantum is roseola-like maculopapular and is neither painful nor itchy. Therefore, this rash does not cause itching. If the rash is significantly itchy, the likelihood of roseola infantum is relatively small, and it may be caused by allergies or other reasons.

doctor image
home-news-image
Written by Chen Si
Pediatrics
56sec home-news-image

How to care for children with roseola

Roseola in infants generally does not require special treatment. It is important to control body temperature promptly to prevent it from getting too high or rising too quickly, which could lead to febrile convulsions. Skin rashes usually appear after the fever subsides, typically in the order of the forehead and face, torso, and extremities. These rashes are neither painful nor itchy, but they might cause irritability in children. There is no need for additional medicated creams for the rashes to prevent further skin issues caused by medications. Dietary recommendations include light, easily digestible food, and there are no specific foods that need to be avoided. Normal bathing and keeping warm to prevent catching a cold are also advised, and normal outdoor activities do not adversely affect children with roseola.

doctor image
home-news-image
Written by Yan Xin Liang
Pediatrics
44sec home-news-image

What should be paid attention to regarding breastfeeding for children with roseola?

Roseola infantum, also known as exanthem subitum, is an acute febrile infectious disease caused by human herpesvirus type 6 or type 7. The main clinical manifestation is a sudden high fever that typically resolves after 3 to 5 days, followed by a rash. The rash, usually a skin rash, dissipates after about 2 days. If the child is breastfed, breastfeeding can continue. However, since it is a viral infection causing the fever and rash, the mother should consume a light and easily digestible diet to avoid burdening the baby's gastrointestinal tract. In addition, it is beneficial for the baby to drink plenty of warm water to aid in recovery from the illness.