The child has red spots on his body, like bites - what kind of pimples are they (photo of the rash)


When and which doctor to contact

Experts say “that the earlier the diagnosis is made, the easier it is to cure the disease.” Therefore, if you experience small pimples that itch and swell, it is advisable to consult a doctor the next day.

This is a therapist or pediatrician, an allergist, a dermatologist. After passing the necessary tests, the healthcare professional will prescribe appropriate therapy.

Complications

If treatment is not started on time, a number of problems will arise that affect both appearance and future health. These are depressions, scars, increased pigmentation. Skin imperfections will remain for a long time, and maybe forever.

A person’s immunity will decrease, therefore, colds will be his constant companions. Complications from the disease can lead to malfunctions of internal organs, as well as death.

Prevention of dermatological pathologies: advice from doctors

If blisters form on the skin, you should seek help from a medical facility in the following situations:

  • The blisters appeared for an unknown reason as a symptom of some disease;
  • The formations arose in the child;
  • The contents of pimples have purulent contents;
  • The rash quickly spreads throughout the body;
  • The rash is accompanied by unpleasant symptoms;
  • The burn is large;
  • The rash is accompanied by inflammation and swelling of the skin.

All types of skin rashes require consultation with a specialist; you should not self-medicate.

A dermatologist treats blisters on the skin. If the cause of the blisters is an allergy, the patient must be referred to a consultation with an allergist. For burns, you may need the help of a surgeon.

Ringworm and its variety - eczema

When a child itches and becomes covered with red spots, it is quite logical to assume that he has lichen - a disease of a fungal or viral nature. You can become infected with it from animals (ringworm), as a result of damage to the skin or diseases of internal organs (eczema), after infection with a fungus (pityriasis versicolor), as a result of disturbances in the functioning of the immune system (lichen planus), as a result of infection by viruses (lichen rosea) .

Depending on the type of disease, it is characterized by different types of rashes:

pityriasis rosea is characterized by the appearance of small round pink or red spots; Pityriasis versicolor is characterized by darker red or even red-brown rashes; with ringworm, in addition to red spots, peeling and itching of the skin appears; eczema is characterized by the appearance of red spots, crusts, peeling, cracks, blisters; With lichen planus, shiny nodules of a reddish-purple hue of irregular shape are formed.

Despite the fact that lichen is treated mainly at home, it is impossible to do without medical help - only a doctor can confirm the diagnosis and determine the type of illness. Depending on the type of disease, antihistamines, corticosteroids and antifungals are used to treat it. It is also recommended to give up bad habits and adhere to a special diet.

To prevent the disease, it is important to strengthen the immune system and limit the baby’s contact with street animals.

Possible causes of pimples that look like mosquito bites in children and adults

Every person periodically experiences rashes on their body. They may have different appearance and cause. If pimples appear on the body, and they itch, and look like mosquito bites, then you need to consult a doctor. A rash may indicate the development of some pathology that poses a danger to humans.

Allergy

Allergic reactions are also a cause of rashes. Typically, blisters like insect bites are caused by eating foods that cause an allergic reaction. Most often, rashes appear after eating seafood, honey, chocolate and milk.

If an allergy occurs in the form of mosquito bites, it will be accompanied by additional symptoms:

  • the rash is itchy and itchy;
  • allergic rhinitis and lacrimation appear;
  • formations arise rapidly, as a rule, immediately after eating and quickly spread over the skin;
  • the rash disappears after taking antihistamines.

Rash like mosquito bites: photo with explanations

A rash in the form of mosquito bites, as shown in the photo below, can appear as small bumps that are located throughout the body in a chaotic manner in children and adults. This is usually how an allergic reaction manifests itself.

Rashes like mosquito bites that appear on the face in the form of small papules, appearing in groups of five at a time, usually indicate the development of measles. The pathology manifests itself in the form of itchy formations in adults and children.

A small red rash is a symptom of hives. The rash causes discomfort because it is accompanied by itching and burning. If you put your hand on the site of the formations, heat will emanate from the epidermis. If left untreated, fluid appears inside the rash and the rash spreads throughout the body.

Lesions like those from a mosquito bite indicate the occurrence of rubella. The pathology poses a particular danger to women during pregnancy.

When do you need a doctor's help?

If a rash appears on the epidermis in late autumn, early spring and winter, which looks like insect bites, then this may indicate the development of diseases. Rashes cannot be ignored, otherwise life-threatening complications may arise.

You cannot begin self-treatment, especially if the cause of the pathology is unknown. Unskilled therapy will lead to complications that may be irreversible.

It is especially necessary to seek medical help if the following symptoms appear:

  • swelling of soft tissues;
  • itching in the area of ​​the rash;
  • Weeping formations appear at the site of the rash.

You should not postpone a visit to the doctor if the rash occupies a significant part of the skin. In such a situation, any delay threatens with irreversible consequences.

Causes of a rash on a child's body

The rashes that a child and his parents experience can occur for various reasons. This may be due to hormonal imbalance. This disorder occurs either only in very young children or during puberty. Then pinpoint spots cover many areas of the body, including the face.

READ ALSO: Ulcers on the glans in men: causes, why red pustules, wounds and scabs on the penis are dangerous, methods of treatment and prevention

If a child has a weak immune system, it is not able to resist harmful bacteria that live on the skin. Therefore, with an additional inflammatory process, the epidermis may become covered with small red pimples, which cause itching and discomfort.

A rash on a child’s body may appear due to poor nutrition. Some foods contain huge amounts of waste and toxins. The internal system begins to react to their intake, which is expressed through the appearance of itchy pimples in the lower back, palms, and lower extremities.

Sometimes the severe stress that a child has experienced can provoke a special reaction from the body in the form of small pimples that itch and affect the surface of the fingers, palms, face, and feet.

Other reasons why a child develops a rash on his body include:

  1. Allergic reaction. In this case, rashes appear immediately after contact with an allergen, which can be household chemicals, certain foods, or medications.
  2. Prickly heat. It is more often diagnosed in young children in hot weather. Small pimples, similar to a mosquito bite, appear in the folds of the body. They have a pale pink tint, are located close to each other and are very itchy.

  3. The presence of parasites in the body and on the skin surface. Internal intoxication of the body, which develops against the background of the presence of helminths, can also cause a rash. It begins to gradually itch, as happens when a mosquito bites. A similar clinical picture appears when a child is bitten by bedbugs or fleas.

Burns from poisonous plants. In this case, the spots that appear on the child’s body resemble blisters. A red spot forms at the site of the burn itself. And when the blisters begin to increase in size, they itch and crack.

  • Infectious diseases. Ailments such as scarlet fever, measles, chickenpox and rubella are also accompanied by a skin rash of a certain nature. At the same time, other symptoms always arise that indicate one or another infection.
  • READ ALSO: Eczema (tinea versicolor) – “SM-Clinic” St. Petersburg

Causes of a mosquito-like rash

When pimples appear, mosquito bites make you itch, which is not always possible to understand. To do this, you need to compare the rash with the usual mosquito and identify inconsistencies.

The problem may lie in:

  • Damage to tissues by various blood-sucking insects.
  • Allergic reaction to food.
  • Prickly heat.
  • Infectious pathologies.
  • Allergic urticaria.
  • Vascular diseases.
  • Development of meningococcal sepsis.

Insect bites

When pimples appear as if from a mosquito bite and itch, the cause may be damage to the skin by various insects. This includes bites from ants, bedbugs, ticks, and fleas. Symptoms and intensity may vary slightly depending on the type of parasite, but the following is typical for all:

  • The presence of itching, burning, and sometimes pain.
  • The appearance of swelling.
  • The appearance of hyperemia, subsequently peeling.

When, when attacked by insects, pimples itch red, like a mosquito bite, a slight increase in temperature may be noted, but this is not a necessary phenomenon.

In case of a severe allergic reaction, if breathing becomes difficult, you should immediately call an ambulance.

Nutritional atopy

Sometimes food allergies resemble mosquito bites. It can occur with any product and in severe situations can even lead to anaphylactic shock.

A distinctive feature of atopy is that pimples appear even under thick clothing and can merge. A food allergy on the skin like the mosquito bites in the photo can subsequently change color, shape, and size. Atopy appears suddenly after ingesting an allergen. If you take an antihistamine, the symptoms decrease. Patients also complain of nausea, vomiting, abdominal pain, and sometimes an increase in temperature.

Prickly heat

Spots on the body similar to mosquito bites may appear due to non-compliance with the thermal regime. Miliaria is more common in infants and is observed in the form of a small rash on the neck, forehead, back, and chest. In severe cases, blisters and purulent rashes form. In this case, the pimples look like mosquito bites.

A distinctive feature is the increase in temperature.

Infectious pathologies

When acne appears, like the skin itches after a mosquito bite, the reason may lie in a number of infectious pathologies:

  • Measles. When the virus enters the body, catarrhal manifestations and rashes are observed throughout the body. Subsequently, the spots turn brown. During the incubation period, the temperature may rise significantly.
  • Chickenpox. Most often diagnosed in childhood. The rash appears gradually and resembles blisters. There is a clear liquid inside the pimple; if it bursts, it will leave a scar for life. Usually the pathology is mild, but may be accompanied by fever, weakness, and conjunctivitis.
  • Rubella. Red rashes have a bump in the middle. The disease progresses with catarrhal symptoms: rhinitis, conjunctivitis, redness of the throat.
  • Scarlet fever. The disease occurs with fever, sore throat, and red rashes.
  • Molluscum contagiosum. The rash looks like small bumps with a white center inside. They can stay on the skin for a long time without causing any discomfort and are able to go away on their own.
  • Roseola. It is characterized by an increase in temperature and the appearance of a pink, raised rash. Papules usually do not bother you and go away on their own in 3-4 days.

Allergic urticaria

It occurs against the background of an allergic reaction to household chemicals, dust, pet hair, and clothing. The rash resembles pink blisters, similar to burns. The patient feels weakness, itching, burning.

Diseases of the blood and blood vessels

Pimples appear in the problem area as if caused by a mosquito bite. In addition, small bluish areas resembling bruises form nearby. Typically, a rash appears when tissue is injured.

Meningococcal sepsis

The patient is concerned about hyperemia and rashes. Symptoms increase rapidly, so immediate medical attention is required. Usually papules are localized on the legs. Over time, they transform into purple subcutaneous spots.

Allergy to insect bites

Manifests itself with hypertrophied symptoms of a local or general nature. Severe swelling may occur locally; the area of ​​the body where there is a wound appears swollen, red, and enlarged. The general clinical picture is accompanied by:

  • headache;
  • dizziness;
  • swelling of the throat and tongue;
  • severe itching of the skin;
  • convulsions;
  • difficulty breathing;
  • myocardial failure.

Treatment regimen:

  • local hormonal creams, ointments;
  • injection of glucocorticosteroids;
  • antihistamines in tablets;
  • infusion therapy (intravenous drip of saline, Ringer, etc.)

A red rash on the body may occur due to allergies. Often, allergic reactions become more active after eating new foods. Allergy pimples can be either small or large. They can be treated with folk remedies or pharmaceutical drugs.

Any treatment in this case will be useless until you identify the provoking allergen and exclude it from the diet (if it is a food product).

Tactics for treating acne in children

A rash similar to mosquito bites that appears in children is treated with medication. Therapeutic therapy is prescribed based on the main cause that provoked this condition. If this is an allergic reaction, then antihistamine medications are prescribed. They will relieve itching and relieve rashes. Usually Tavegil or Diazolin is used, one tablet twice a day.

Additionally, it is recommended to use external agents. These are creams and ointments (Fenistil) that help relieve unpleasant symptoms. A rash that occurs due to a viral infection will have to be treated with antimicrobial, antiviral and antibacterial medications. This:

  • Acyclovir,
  • Zovirax,
  • Aminazine.
  • In advanced stages, antibiotics and antiseptics may be prescribed. Small burn blisters are treated with Solcoseryl ointment. However, if a rash of this nature becomes severe, covering the entire body of the child, then therapy is carried out in a hospital.

    Diseases accompanied by rashes

    Any type of rash on the body is a symptom of the disease. They can be very different in appearance. The rash can be papular, pinpoint or, conversely, in the form of large dots or pimples. It comes in a variety of colors, ranging from clear or white to bright red. The characteristics that describe rashes directly depend on their etiology or the illness that they accompany.

    Dermatological diseases

    Among the diseases of dermatological etiology, the symptoms of which are a variety of rashes, the following can be noted:

    • dermatoses (for example, diaper dermatitis);
    • psoriasis;
    • eczema;
    • candidiasis and other diseases of the epidermis.

    Almost always, skin diseases are caused by problems with internal organs and systems combined with exposure to external factors. For example, neurodermatitis can be triggered by malfunctions of the nervous and endocrine systems due to decreased immunity. In such a situation, complex therapy is required using medications, and not just ointments or creams.

    Psoriasis on the hands of a child

    As for psoriasis, at the initial stage it looks like an allergic reaction, but over time the plaques acquire a characteristic appearance. Another name for the disease is lichen planus. Psoriasis and eczema are very rare in children of one month of age. Genetic predisposition to these diseases only after 2 years.

    Allergic reaction

    One of the main symptoms of allergies is a rash. A negative reaction is the result of taking medications or eating certain foods. Having different shapes and sizes, the rashes can spread throughout the body, including the face, chest, and limbs.

    The main characteristic difference between an allergy rash is that it increases in severity when exposed to an allergen and disappears after eliminating the irritant. Another feature is the presence of severe itching.

    The most common manifestations of an allergic rash are:

    1. Hives. Occurs due to foods, medications and temperature factors. Sometimes it is impossible to determine the true cause of hives.
    2. Atopic dermatitis. It is a papular red rash that, as it develops, merges and becomes crusty. It most often occurs on the face, cheeks and places where the arms and legs are bent. Accompanied by itching.

    Atopic dermatitis or eczema

    Infectious diseases

    Quite often, a rash is a sign of an infectious disease. The most famous of them:

    1. Chickenpox. The child develops characteristic watery blisters, which dry out and form a crust. They are characterized by itching. The temperature may also rise, but sometimes the disease goes away without it.
    2. Rubella. The main symptoms are enlarged lymph nodes in the neck and a rash in the form of small red spots or dots that first appear on the face and then move to the neck, shoulders and then spread throughout the body.
    3. Measles. It appears as round spots and nodules behind the ears, spreading throughout the body. The disease is also accompanied by peeling, pigmentation disorders, fever, conjunctivitis, cough and photophobia.
    4. Scarlet fever. Initially, the rashes are localized on the cheeks, then move to the limbs, chest and torso. Gradually the rash becomes paler. Scarlet fever is also characterized by a bright red coloration of the palate and tongue.
    5. Roseola. It starts with an increase in temperature. The fever lasts about three days, after which a pinpoint red rash appears on the body.
    6. Scabies. It is characterized by a red rash that is very itchy.

    Chickenpox symptoms are difficult to confuse with symptoms of another infection Rubella rash Signs of measles Roseola rash

    Urticaria in children

    At the threshold I was met by a thin, intelligent-looking man. “The child’s mother will be there now, running,” he told me. And a minute later the doorbell actually rang. “Here comes my wife!” - Dad exclaimed joyfully.

    “I haven’t seen my girl for a long time!” - exclaimed the happy husband. The next moment he was tenderly hugging his swollen 150-kilogram wife. Or rather, he hugged only half of his beloved, as far as his not too long arms could reach. My beloved’s T-shirt was wet in the armpits. She smelled terrible of sweat. “I just got back from training - I was lifting weights,” she simply told me. “Maybe she hasn’t recovered from her pregnancy yet?” — I involuntarily thought, although this was not relevant.

    The mother of my little patient, Yulia, grew up in a small regional center. Perhaps that’s why, having moved to a big city, she tried to be trendy in everything. She was visiting a fitness club, a fashionable smartphone was shining in her hands, and on the table lay a book with a title like “After Three It’s Too Late.” Some kind of tattoo in English curled along the edges of her palms, and there was something like a rivet in the wing of her nose.

    Yulin, a six-month-old baby, has only been breastfeeding until now. We discussed with the young mother the rules for introducing complementary foods. “I read here about pedagogical complementary feeding, what is it?” - she asked me. “Well, yes, there is such a newfangled (albeit quite old) method,” I answered. — This is when a child gradually, little by little, tries food from the common table. But we need to approach this with caution and common sense.”

    The next call came just a couple of weeks later: “My son is covered all over, as if he had been burned by nettles, come quickly!” Upon arrival, I found the following picture: large convex spots with jagged red edges and a pale tint in the middle “bloomed” on the child’s chest, back and limbs - urticaria. The rash itched.

    - Well, you probably didn’t throw the child into the nettles? (It was 99% a joke, but still...) - No, of course. - What did you feed? - I ask. — Pedagogical complementary feeding. You yourself allowed it. - How is that? - I tensed. - Sushi. Crab. Shrimp. But everything is a little bit. Just like you said.

    Honestly, my jaw dropped.

    But maybe it was my own fault? After all, I did not specify the concept of pedagogical complementary feeding. I didn’t even bother to ask what my mother actually ate. It turned out that Julia, having moved to St. Petersburg, became heavily addicted to sushi. She continued to eat seafood while breastfeeding, and the baby had no reaction. Having decided to introduce complementary foods, she let her son try sushi several times - there was still no sign of an allergy. But the third time, after increasing the dose, it didn’t work.

    We gave the boy an antihistamine, and the entire rash went away within half an hour. But after 12 hours the hives came out again. The mother had to go on a strict diet, the child took antiallergic drugs and sorbents for almost a week. Fortunately, everything went away, but we introduced the following complementary foods extremely carefully.

    ***

    Factors that can trigger rashes

    There are many factors that can trigger the appearance of a red rash on a baby’s body.

    Pimples appear most often due to the following reasons:

    • Teeth are growing. Rashes that appear due to the eruption of a baby tooth are often localized in the area of ​​the baby’s lips. The reason for this is that the baby produces a large amount of saliva. There is no need to treat such pimples; they will go away on their own after the teeth stop growing.
    • Allergic reaction. Red rashes on a child’s body, small or larger, are sometimes evidence of an actively developing allergy. As a rule, an allergic reaction is accompanied, as an addition, by the following symptoms: runny nose and sneezing. During allergies, the baby may develop rashes all over the body, and they are often itchy. Therapeutic methods are prescribed by the doctor after the irritant has been identified.
    • Prickly heat. When a baby wears clothes that are too warm, he sometimes develops pimples due to the fact that the skin sweats.
    • Lack of hygiene. The rashes that appear if the skin is heavily contaminated are usually of a specific nature: they are inflamed and contain pus. Squeezing pimples in this situation is prohibited; you should seek help from a pediatrician, since such rashes sometimes cause infection. The best treatment option is careful adherence to hygiene rules.
    • Weather. The reasons for the appearance of pimples on a baby's skin may lie in weather conditions such as frost, sun rays or wind. If you come into contact with such weather, you should take certain measures: wear warm clothes, use special creams against sun rays or windy weather, etc.
    • Insects. Red, swollen pimples all over the body can appear due to the bites of various insects, including bedbugs and mosquitoes. Typically, such a rash itches and brings discomfort to the baby’s life. It is better to prevent such a rash from appearing, since the bite may cause an allergy or introduce parasites into the body.

    There are many factors that provoke the appearance of a rash in childhood, and not all of them depend on the parents.

    How to deal with rashes that look like insect bites at home

    If a rash of an unknown nature appears, which is not mosquito bites, you can try to alleviate the child’s condition. To do this you need to use lotions. You can add two tablespoons of soda to a glass of water, moisten a piece of bandage in the resulting solution and place it on the area with the rash.

    Green tea can have a good effect. A cotton pad is also moistened in it, which is then used to wipe all the places where there are rashes. If the rash is allergic in nature, then you can give the child an antihistamine according to age.

    When pimples on a baby’s body can be attributed to prickly heat, then the baby’s body should be wiped with a damp towel dipped in chamomile decoction. You can also take a bath by adding a decoction of string or calendula tincture to the water. Then you should change the baby into clothes made of cotton fabric. If, against the background of the appearance of a rash, the temperature rises and the child’s well-being worsens, then you should call a doctor.

    READ ALSO: Herpes and herpes zoster - clinical course, treatment * Diana Clinic in St. Petersburg

    Hives


    Urticaria (Uriticaria) Sometimes also called nettle rash, urticaria is a dermatological condition characterized by pale red or white, raised, itchy rashes (blisters), each surrounded by a small red spot on the skin.
    The condition of the skin is very similar to a nettle burn. According to Dermnetz.org, these blisters can be large, ranging in size from a few millimeters to several centimeters, making them look like swelling on the skin.

    Hives are often associated with allergies, although there are many non-allergic causes. Allergic reactions promote the release of histamine and basophils, which then lead to damage to small blood vessels.

    The rash may appear within minutes and go away within a few hours, and usually tends to change over time. The shape of the blisters varies from round and ring-shaped to uneven, reminiscent of a geographical map.

    Although in most cases symptoms disappear in less than 24 hours, new blisters may appear as old ones clear up, sometimes migrating throughout the body.

    Treatment

    Hives are not a serious condition in most cases, and treatment is usually not required.

    However, you can soothe the itching by taking an oral antihistamine, such as Zyrtec or Benadryl, or by applying calamine lotion. A cool bath may also help.

    It is recommended to avoid exposure to any environmental elements or foods that may be a potential trigger for allergic reactions.

    If this condition persists, you should consult your doctor. Steroid creams may need to be prescribed for a short period of time to reduce swelling. Antileukotriene therapy may also be prescribed to control histamine release.

    ethnoscience

    When rashes on a child’s body do not cause any particular concern and the baby does not complain of feeling unwell, you can try to cope with this problem using traditional medicine recipes. You need to take the potatoes, wash them, cut them into two halves. Then apply the root vegetable to the area with the rash, cut side down. The potatoes last for half an hour.

    A good therapeutic result can be obtained by making a compress based on a decoction prepared from the following plants:

    • mint leaves,
    • series,

    • chamomile flowers,
    • celandine.

    This compress will soothe irritated skin and help cope with various types of dermatitis. You can make lotions from a decoction based on chamomile and yarrow three times a day. Traditional medicine should be used when it comes to small, mild rashes.

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    If you find strange pimples on your child’s body that look like mosquito bites, as shown in the photo accompanying the article, do not panic. Carefully examine the nature and color of the rash. These types of skin manifestations can be divided into the following types:

    • Direct insect bites (midges, fleas, wasps, bees). Accompanied by redness, itching, burning and peeling of the skin, and the appearance of red spots. They can cause severe allergies, swelling of the bite site and even loss of consciousness.
    • Individual food intolerance. An allergic reaction occurs with an increase in body temperature, nausea, stomach pain, and vomiting.
    • Mosquito bite-like spots caused by sweat gland secretions on the skin. The affected areas cause discomfort when in contact with clothing.
    • Urticaria (we recommend reading: what urticaria looks like in a child: photo). The skin itches. Pimples are oval in shape and form clusters of rashes that visually resemble a nettle burn. You feel general weakness and malaise.

    • Molluscum contagiosum (more details in the article: what are molluscs on the skin of a child and photo). A rash in the form of small flesh-colored pimples with a notch in the middle. The disease does not require urgent drug treatment and has a long development phase.
    • Scarlet fever. Accompanied by a rash of reddish spots, sore throat and fever.
    • Chickenpox. One of the most common diseases, which almost everyone becomes infected at an early age. The skin becomes covered with small red spots, which over time occupy large areas of the skin. When ripe, the papules burst, releasing the fluid accumulated inside.
    • Roseola (more details in the article: how is roseola disease treated in children?). Accompanied by a pink rash and fever. It does not require treatment - the formations disappear on their own.
    • Rubella. Areas of skin are affected by reddish pimples all over the body - this disease is extremely dangerous. However, only a specialist can distinguish it from an allergy - the body’s reaction has similar symptoms.
    • Measles is a deadly skin disease, accompanied by fever and acute respiratory viral infections. The skin of the face becomes covered with red pimples, which later affect the entire body (we recommend reading: why do red pimples appear on a child’s face?).
    • Red pimples sometimes appear in teenagers during puberty. Redness and the appearance of spots in the form of bites are associated with hormonal changes in the body.

    Types of rashes on a child's body

    A rash that appears on a child’s body and looks like mosquito bites can have a different manifestation pattern. In this regard, it is customary to distinguish several types of such manifestations:

    1. Rashes in the form of small spots that are located quite unevenly. More often they appear in separate groups. They are localized in absolutely any area.
    2. Rash in the form of papules. These spots have a more saturated color, and their minimum size exceeds five millimeters. They may be reddish or pink.
    3. Vesicle. Another type of rash in which blisters with liquid filling appear.

    4. Sometimes a rash may appear, with clear contours and a purulent core inside.

    In addition to this variety, spots that appear on a child’s body can be of different colors: white, red, pink. Their structure can be watery or quite dense. They may look like a blister, papule, nodule, plaque or mosquito bite. Moreover, any rash is always accompanied by additional symptoms that simply must be taken into account in order to make the correct diagnosis.

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