#asktheexpert my baby boy is 2 years old and from last 2 months he is having red spots on his body we have consulted skin specialist also but it comes again and again

Question

Accepted Answer

Persistent red spots on a child's body can be concerning, especially if they've been present for two months. Here are some steps to consider, particularly since you've already consulted a skin specialist:

1. Follow Up with the Specialist

Second Opinion: If the red spots keep recurring despite treatment, consider seeking a second opinion from another dermatologist or pediatric dermatologist.

Detailed History: Ensure the doctor has a complete history of your child’s symptoms, any treatments tried, and when the spots appear (e.g., after specific activities, foods, or environments).

2. Identify Triggers

Allergies: Keep a diary of when the spots appear and any potential triggers (new foods, activities, products, or environmental changes).

Irritants: Check for irritants like soaps, detergents, or lotions that may cause skin reactions. Consider switching to hypoallergenic or fragrance-free products.

3. Monitor for Other Symptoms

Accompanying Symptoms: Take note of any other symptoms, such as itching, swelling, fever, or changes in appetite, which can help in diagnosing the condition.

Seasonal Changes: Sometimes, skin conditions can be exacerbated by seasonal changes (like dry air in winter).

4. Maintain Skin Care

Moisturize: Use a gentle, fragrance-free moisturizer daily to keep your child's skin hydrated.

Gentle Cleansing: Bathe your child with mild soap, and avoid hot water, which can irritate the skin.

5. Topical Treatments

Corticosteroids: If prescribed, ensure you follow the dermatologist's advice on applying any topical corticosteroids or medicated creams.

Antihistamines: If the spots are itchy, consult your doctor about using antihistamines to relieve discomfort.

6. Dietary Considerations

Allergy Testing: Consider allergy testing if food allergies are suspected. Foods like dairy, eggs, nuts, or gluten can sometimes lead to skin reactions.

Balanced Diet: Ensure your child is eating a balanced diet rich in vitamins and minerals, which can support skin health.

7. Monitor for Infections

Signs of Infection: Watch for any signs of infection, such as increased redness, warmth, pus, or fever. If these occur, seek medical attention promptly.

8. Consult a Pediatrician

Overall Health: If the condition persists or worsens, consult your pediatrician. They can provide additional insights or refer you to specialists if needed.

Conclusion

Persistent red spots can have various underlying causes, and thorough investigation is essential. Since you have consulted a skin specialist, keeping detailed records and maintaining open communication with healthcare providers will help in identifying and addressing the issue effectively.