A few days later, a spotty rash may appear on the chest, back, arms and legs. The rash can be raised. It may be harder to see on brown and black skin.
Credit:
John Kaprielian/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/618192/view
How long it lasts
The rash usually fades within 1 to 3 weeks, but it can sometimes last for longer, especially if you're hot or stressed.
Adults might also have joint pain and stiffness. This can happen in children too, but it's rare. Joint pain can continue for many weeks, even after the other symptoms have gone.
How to treat slapped cheek syndrome yourself
You do not usually need to see a GP for slapped cheek syndrome.
There are some things you can do to ease the symptoms.
Do
rest
drink plenty of fluids to avoid dehydration – babies should continue their normal feeds
A rash of small, raised bumps that feels rough, like sandpaper, could be scarlet fever.
Speak to a GP if you think your child has scarlet fever.
Scarlet fever symptoms and what to do
Symptoms of scarlet fever
The first signs of scarlet fever can be flu-like symptoms, including a high temperature, a sore throat and swollen neck glands (a large lump on the side of your neck).
A rash appears 12 to 48 hours later. It looks like small, raised bumps and starts on the chest and tummy, then spreads. The rash makes your skin feel rough, like sandpaper.
On white skin the rash looks pink or red. On brown and black skin it might be harder to see a change in colour, but you can still feel the rash and see the raised bumps.
Raised, itchy patches or spots could be caused by an allergic reaction (hives).
Hives can usually be treated at home. But call 999 if there's swelling around your child's mouth or they're struggling to breathe.
Hives symptoms and what to do
Symptoms of hives
The main symptom of hives is an itchy rash.
The rash can:
be raised bumps or patches in many shapes and sizes
appear anywhere on the body
be on 1 area or spread across the body
feel itchy, sting or burn
look pink or red when affecting someone with white skin; the colour of the rash can be harder to see on brown and black skin
Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
Hives rash on the knee of a person with light brown skin. The skin is slightly darker brown around where the rash is.
There are many skin-coloured bumps on and around the knee which vary in size from around 2mm to 1cm. The larger bumps look puffy like blisters. Some bumps are very close together in groups.
Hives rash on the cheek, chin and neck of a person with light brown skin.
There are about 50 raised bumps in different shapes and sizes.
Some of the bumps are small circles and others are larger, uneven shapes. Most are close together in groups, but some are further apart. The bumps are a lighter brown than the surrounding skin and look puffy, like blisters.
your lips, mouth, throat or tongue suddenly become swollen
you're breathing very fast or struggling to breathe (you may become very wheezy or feel like you're choking or gasping for air)
your throat feels tight or you're struggling to swallow
your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
you suddenly become very confused, drowsy or dizzy
someone faints and cannot be woken up
a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)
You or the person who's unwell may also have a rash that's swollen, raised or itchy.
These can be signs of a serious allergic reaction and may need immediate treatment in hospital.
The colour of the ringworm rash may be less noticeable on brown and black skin.
Credit:
BSIP SA / Alamy Stock Photo https://www.alamy.com/stock-photo-herpes-49178293.html?pv=1&stamp=2&imageid=6D4451FF-983E-41A0-91D1-7FA4B294D4D7&p=166014&n=465&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3Dbar%26st%3D0%26sortby%3D3%26qt%3Dringworm%26qt_raw%3Dringworm%26qn%3D%26lic%3D3%26edrf%3D0%26mr%3D0%26pr%3D0%26aoa%3D1%26creative%3D%26videos%3D%26nu%3D%26ccc%3D%26bespoke%3D4%26apalib%3D%26ag%3D0%26hc%3D0%26et%3D0x000000000000000000000%26vp%3D0%26loc%3D0%26ot%3D0%26imgt%3D0%26dtfr%3D%26dtto%3D%26size%3D0xFF%26blackwhite%3D%26cutout%3D%26archive%3D1%26name%3D%26groupid%3D%26pseudoid%3D%26userid%3D%26id%3D%26a%3D%26xstx%3D0%26cbstore%3D0%26resultview%3DsortbyRelevant%26lightbox%3D%26gname%3D%26gtype%3D%26apalic%3D%26tbar%3D1%26pc%3D%26simid%3D%26cap%3D1%26customgeoip%3DGB%26vd%3D0%26cid%3D%26pe%3D%26so%3D%26lb%3D%26pl%3D0%26plno%3D%26fi%3D0%26langcode%3Den%26upl%3D0%26cufr%3D%26cuto%3D%26howler%3D%26cvrem%3D0%26cvtype%3D0%26cvloc%3D0%26cl%3D0%26upfr%3D%26upto%3D%26primcat%3D%26seccat%3D%26cvcategory%3D*%26restriction%3D%26random%3D%26ispremium%3D1%26flip%3D0%26contributorqt%3D%26plgalleryno%3D%26plpublic%3D0%26viewaspublic%3D0%26isplcurate%3D0%26imageurl%3D%26saveQry%3D%26editorial%3D%26t%3D0%26apaid%3D%7B18B189B6-6A83-41BD-8442-2448A6B7E281%7D%26custspecid%3D14369B5F-24B7-4344-B743-D5DE569A1F46%26filters%3D0
Sometimes the rash grows, spreads, or there's more than 1 rash.
Credit:
DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/262986/view
Ringworm on the face or scalp may also cause patchy hair loss.
Credit:
DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/262834/view
A pharmacist can help with ringworm
Speak to a pharmacist first if you think you have ringworm.
They can look at the rash and recommend the best antifungal medicine. This might be tablets, cream, gel or spray depending on where the rash is.
You may need to use an antifungal medicine every day for up to 4 weeks. It's important to use it for the right amount of time, even if the rash has gone away.
A pharmacist will tell you if they think you should see a GP.
Small, itchy spots that turn into blisters and scabs could be chickenpox.
Chickenpox can usually be treated at home.
Chickenpox symptoms and what to do
Symptoms of chickenpox
The main symptom of chickenpox is an itchy, spotty rash. It can be anywhere on the body.
Before or after the rash appears, you might also have:
a high temperature
aches and pains, and generally feel unwell
loss of appetite
Chickenpox happens in 3 stages, but new spots can appear while others are becoming blisters or forming a scab.
Stage 1: small spots appear
The spots can:
be anywhere on the body, including inside the mouth and around the genitals, which can be painful
spread or stay in a small area
be red, pink, darker or the same colour as surrounding skin, depending on your skin tone
be harder to see on brown and black skin
Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
There are 10 spots in different sizes, but they're all less than 1cm. Some spots are close to others. Some spots are raised and appear to be forming a round or slightly oval blister. Other spots are flatter.
The spots are red and pink and the skin around the spots is pink.
There are about 50 spots in different sizes, but they're all less than 1cm. Some spots are close to others.
The larger spots are pink. Some of the smaller spots are the same colour as the person's skin tone. Some spots are raised and look like they're forming a round or oval blister in the centre. Other spots are flatter.
Stage 2: the spots become blisters
The spots fill with fluid and become blisters. The blisters are very itchy and may burst.
Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
Miroslav Beneda / Alamy Stock Photo https://www.alamy.com/stock-photo-detail-baby-with-chicken-pox-rash-53122372.html?pv=1&stamp=2&imageid=55E4EE6E-6F54-4758-A74B-4058E5E59B4E&p=85303&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dD2BX3G%26qt_raw%3dD2BX3G%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d%26ispremium%3d1%26flip%3d0%26pl%3d
Long description, image 1
White skin with stage 2 chickenpox spots.
There are 13 spots that vary in size, but they're all less than 1cm. Some spots are close to others. Almost all the spots have formed a round or slightly oval blister. 1 spot looks flatter.
The blisters are pink and shiny. The skin around some spots looks slightly pink.
Credit:
Science Photo Library Image is currently not live on their site as the company who were hiring the image has gone into liquidation. However, the actual owner of the image is looking to subscribe to SPL and has agreed to licence it to us.
Long description, image 2
Medium-brown skin with stage 2 chickenpox spots. There are more than 50 chickenpox spots covering a child's chest and upper arms.
The spots are different sizes, but they're all less than 1cm. Many of the spots have formed a round or slightly oval shaped raised blister. Many of the blisters are white and shiny.
The skin around some of the blisters is pink. A few of the blisters look like they have burst and have formed dark scabs.
Medium-brown skin with stage 2 chickenpox spots and blisters. There are about 40 spots on a person's forehead.
The spots vary in size from around 3mm to 6mm. Some are close to others. Many have formed a round or slightly oval shaped raised blister. Some spots look slightly flatter.
Some blisters are the same colour or slightly paler than the person's skin, while others are slightly pink. Some blisters look shiny and slightly white or grey.
Credit:
CDC https://phil.cdc.gov/Details.aspx?pid=4367
Long description, image 4
Dark-brown skin with stage 2 chickenpox spots and blisters. There are about 50 spots on a person's back and arm.
The spots vary in size from around 5mm to 1cm. Some are close to others. Many of the spots have formed a round or slightly oval shaped raised blister.
Some of the blisters look like they have burst and some may be forming a scab. Most blisters are the same colour or slightly darker than the person's skin. Some blisters look shiny and slightly white or grey.
Stage 3: the blisters become scabs
The spots form a scab. Some scabs are flaky, while others leak fluid.
Here is an image gallery with images and detailed descriptions. Select an image tab to get the bigger version of the image and to access the description.
White skin with stage 3 chickenpox spots, blisters and scabs.
There are about 14 spots, which vary in size from around 1mm to 1cm. Some are close together.
Some of the spots look like very small pink blisters. Some are larger, raised and have a scab over them. Some scabs look soft and seem to have fluid under them.
2 of the scabs look like they have collapsed in the centre. The scabs are yellow and pink and the skin around the scabs is pink.
Light-brown skin with stage 3 chickenpox spots and scabs. There are about 25 spots on a person's upper back.
Some spots are 1cm to 3cm apart, some are further apart. Most spots are flat, less than 5mm, and have dark red scabs. The skin around many of the scabs looks pink.
Medium-brown skin with stage 3 chickenpox spots. The spots cover the lower part of a person's back and the side of their hip.
There are about 50 spots in total, varying in size from about 1mm to 1cm. Some are 1cm to 3cm apart, but others are further apart.
Most of the spots have scabs over them. The scabs are pink, purple or grey. There are also a few spots without scabs, which look like small blisters. These are slightly darker in colour than the person's skin.
How you can treat chickenpox yourself
If you have chickenpox, you'll need to stay off school, nursery or work until all the spots have formed a scab. This is usually 5 days after the spots first appeared.
There are things you can do to treat chickenpox yourself at home without needing to see a GP.
Do
drink plenty of fluids (try ice lollies if your child is not drinking)
take paracetamol to help with any pain and discomfort
cut your child's fingernails and put socks on their hands at night to stop them scratching
Sores or blisters that burst and leave crusty, golden-brown patches could be impetigo. The sores or blisters can be itchy, get bigger or spread to other parts of the body.
Speak to a GP if you think your child may have impetigo.
Impetigo symptoms and what to do
Symptoms of impetigo
Impetigo starts with red sores or blisters, but the redness may be harder to see on brown and black skin.
The sores or blisters quickly burst and often leave crusty, golden-brown patches.
The patches can:
look a bit like cornflakes stuck to your skin
get bigger and spread to other parts of your body
be itchy and are sometimes painful
The sores and blisters of impetigo commonly affect the face (around the nose and mouth) and hands.
Credit:
DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/258826/view
After the blisters burst, you often have golden-brown crusty patches on your skin.
Very itchy raised spots could be caused by tiny mites that burrow into the skin (scabies). There may be raised lines with a dot at one end, often first appearing between the fingers.
Scabies can usually be treated at home.
Scabies symptoms and what to do
Rash without fever or itching
Tiny spots on a baby's face
Very small spots, called milia, often appear on a baby's face when they're a few days old. The spots usually appear on their nose but can also be on other parts of the face, inside their mouth, or on their scalp or chest.
Milia can also affect older babies and children, with spots on their eyelids, forehead or nappy area.
The spots may appear white or yellow, depending on your child's skin colour.
In young babies, they usually go away within a few weeks and do not need treatment. In older children milia might last longer.
Red, yellow and white spots in babies
Raised red, yellow and white spots (erythema toxicum) are common on babies in the first few weeks after birth. They usually appear on the face, body, upper arms and thighs.
The rash can disappear and reappear. It should get better in a few weeks without treatment.
Skin-coloured or pink spots
An example of the molluscum contagiosum rash.
An example of the molluscum contagiosum rash.
Small, firm, raised spots could be molluscum contagiosum. The spots can be the same colour as surrounding skin, darker than surrounding skin, or pink.
You can usually treat molluscum contagiosum at home.
Molluscum contagiosum symptoms and what to do
Symptoms of molluscum contagiosum
Molluscum contagiosum is more common in children, but anyone can get it.
Usually, the only symptom of molluscum contagiosum is spots.
The spots are about 2 to 5mm wide and usually appear together. They are raised and dome-shaped with a shiny white dimple in the middle.
Credit:
DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/259439/view
Children with the infection often get spots on their body and in or around folds of skin (groin, behind the knee and armpits).
The spots caused by molluscum contagiosum are usually harmless and should clear up within 18 months without needing treatment.
Molluscum contagiosum is contagious. It is usually passed on by direct skin to skin contact.
The chance of passing it on to other people during normal activities is small so you or your child should be able to carry on with your normal activities. If you are not sure, check with a GP.
There are some things you can do to help reduce the risk of the infection spreading and help ease any symptoms.
Do
try things to help with dryness and itchy skin, such as holding a damp towel against the skin, having cool baths or using an unperfumed moisturiser regularly
keep the affected area covered, including using waterproof bandages if you go swimming
use a condom while having sex if you are infected
Don’t
do not squeeze or scratch the spots, as it could cause an infection or scarring
do not share baths or things such as towels, bedding or clothes