Common Skin Rashes in Childhood

Children often develop rashes that worry parents, but most are harmless skin conditions that resolve with simple care. In this article, you’ll learn what a rash is, why it happens, when it tends to appear, and which common skin rashes in childhood you might see. Plus, tips on when to seek help from pediatric experts.

At Bootin and Savrick Pediatric Associates in Houston, TX, we have experience treating a wide range of skin conditions, and we’re here to support your child’s skin health. Feel free to contact us anytime to discuss your concerns and arrange an appointment.

A girl with a skin rash in Texas.

What is a Rash?

A rash appears when the skin becomes inflamed or irritated, often showing up as redness, raised spots, itchy bumps, or sometimes blisters. Parents might notice skin patches, a stinging or prickly sensation, or even permanent goose pimples in areas of friction or with the use of skincare products.

While some rashes are a viral infection or a fungal infection, others result from allergic irritation or environmental triggers.

Causes of Skin Rashes

Children’s skin is more reactive than adults’, and rashes can stem from the following:

  • Allergic reaction: Contact with allergens or irritants.
  • Viral skin infection: Such as hand‑foot‑and‑mouth, slapped cheek syndrome (Fifth disease), or chickenpox.
  • Bacterial infection: For example, scarlet fever or bullous impetigo are both contagious infections.
  • Fungal infection: Like ringworm or other similar fungal infections.
  • Heat rash: Also known as prickly heat or prickly heat rash, it occurs when sweat ducts are blocked.
  • Chronic conditions: Such as atopic eczema (atopic dermatitis).

When Are Rashes Most Common?

Certain rashes are more common according to your child’s age and the season. Here are some of the common rashes among children:

  • In infants: Due to diaper rash, cradle cap, or atopic eczema.
  • Toddlers in daycare: Spread of highly contagious skin infections like hand, foot, and mouth or molluscum contagiosum.
  • School‑age children: Scarlet fever, measles rash, and foot and mouth disease are commonly spread at school.
  • Summer months: Heat rash, prickly heat, and fungal skin infections thrive in warm, humid conditions.
  • Winter: Eczema often worsens in drier indoor air.

Common Skin Rashes in Children

Some of the most common rashes among children include the following:

1. Atopic Dermatitis (Atopic Eczema)

A chronic, itchy rash often presents in creases of elbows, behind knees, or on cheeks. Appears as dry, red skin that may have yellow-brown crust when scratched. Triggered by dry air, allergens, or viral infection, and managed with moisturizers and topical corticosteroids

2. Heat Rash (Prickly Heat)

Tiny red or white bumps on upper arms, neck, or skin covered by clothing. Causes itching and prickling as sweat ducts clog. Keep skin cool and avoid overheating.

3. Chickenpox

A viral skin infection with fluid-filled blisters, widespread itchy rash, fever, and mouth ulcers. Now rare thanks to vaccination.

4. Hand-Foot-and-Mouth Disease (Foot and Mouth Disease)

Caused by the Coxsackie virus, it causes a rash, tiny blisters on hands, feet, and buttocks, fever, sore throat, and mouth ulcers. Highly contagious via saliva and contact.

5. Scarlet Fever

A highly contagious bacterial infection related to strep throat with sore throat, fever, and a distinctive bright red rash that feels like sandpaper. Cheeks can be flushed, with paleness around the mouth. Treatment includes antibiotics.

6. Molluscum Contagiosum

A mild viral skin infection causes small, firm bumps with a central dimple. Spread via skin-to-skin contact, often resolves on its own.

7. Impetigo (Bullous & Nonbullous)

A contagious skin condition usually around the nose or mouth. Bullous impetigo leads to blisters that burst and form a yellow crust. We have experience treating impetigo with prescription ointments and oral antibiotics.

8. Ringworm

A fungal infection causing a red, circular (ring‑shaped) itchy rash, often on arms or scalp. These tiny spots may ooze. They will be cleared with antifungal cream.

9. Measles Rash

Part of a viral infection with high fever, cough, and a distinctive pink-red rash that starts on the face and spreads downward.

10. Slapped Cheek Syndrome (Fifth Disease)

Caused by parvovirus B19, it gives a bright red rash on cheeks and a lacy rash on the body after a mild illness.

11. Scabies

The scabies rash results from tiny mites burrowing under the skin. It causes intense itching at night. Treatment includes medicated creams.

When to Seek Medical Help

While many childhood rashes are mild and resolve on their own, some signs call for prompt medical attention. Contact us if you notice any of the following:

  • The rash or lesion affects the eyes, which may risk vision or indicate a more serious issue.
  • You notice blue, red, or purple dots in the affected area. This may suggest bleeding under the skin.
  • The rash becomes crusty, blistering, or oozing, which can be a sign of a contagious skin condition like impetigo or bullous impetigo.
  • The rash appears with fever, dizziness, vomiting, shortness of breath, or a stiff neck. These symptoms may point to a viral infection, severe allergic reaction, or other systemic illness.
  • The rash is accompanied by any other troubling symptoms or isn’t improving after about a week.
 

Trust your instincts. If your child has a rash that concerns you, we’re here to help assess, diagnose, and treat the condition effectively.

Treatment and Care Tips

Try the following tips to take care of your child’s rash:

  • Soothe rashes with cool compresses and breathable clothing.
  • Use gentle, fragrance‑free products; avoid harsh soaps.
  • Apply prescribed topical corticosteroids for eczema or allergic reactions.
  • Stay on antifungal or antibiotic courses as directed.
  • Keep hands and surroundings clean to cut transmission.
  • Encourage soft foods and oral hydration when mouth sores are present.

Contact Bootin and Savrick Pediatric Associates

At Bootin and Savrick Pediatric Associates, we have experience treating many common skin rashes in childhood, from viral infections, eczema, and heat rash, to scarlet fever and skin rashes in children caused by allergies or contact. We work in cooperation with pediatric dermatology specialists when needed. We aim for safe, evidence-based, and child-focused care.

If your child has a rash you’re unsure about, don’t hesitate to reach out to us in Houston, Pearland, Kingwood, or Memorial City. Our team is ready to assess, diagnose, and guide you through treatment. Contact us today for compassionate, expert pediatric skin care.

Medically reviewed by Dr. Patti Savrick