Differential Diagnosis for Whole Body Rash in a 10-year-old
Single Most Likely Diagnosis
- Viral Exanthem: This is the most common cause of a whole body rash in children, often associated with viral infections such as measles, rubella, or roseola. The rash typically appears after a prodrome of fever and upper respiratory symptoms.
Other Likely Diagnoses
- Atopic Dermatitis (Eczema): A chronic skin condition characterized by itchy, inflamed skin. It can present as a whole body rash, especially if the child has a history of allergies or asthma.
- Contact Dermatitis: An allergic reaction to substances like poison ivy, oak, or sumac, or irritants such as soaps or detergents, which can cause a widespread rash.
- Impetigo: A highly contagious bacterial skin infection that can spread across the body, often starting as a localized lesion.
Do Not Miss Diagnoses
- Meningococcemia: A life-threatening infection caused by Neisseria meningitidis, which can present with a petechial or purpuric rash. Early recognition and treatment are crucial.
- Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: Severe skin and mucous membrane disorders, usually a reaction to medications or infections, which can be fatal if not promptly treated.
- Kawasaki Disease: An acute febrile illness that can cause a rash, along with other symptoms like fever, conjunctivitis, and lymphadenopathy. It requires early diagnosis to prevent cardiac complications.
Rare Diagnoses
- Pityriasis Rubra Pilaris: A rare skin disorder characterized by a reddish-orange rash and scaling, often involving the whole body.
- Staphylococcal Scalded Skin Syndrome (SSSS): A condition caused by staphylococcal toxins that can lead to widespread skin exfoliation, more common in younger children.
- Juvenile Rheumatoid Arthritis (JRA): A chronic autoimmune disease that can present with a rash, fever, and joint inflammation, among other symptoms.