Differential Diagnosis for Neck Rash in a 7-Month-Old
Single Most Likely Diagnosis
- Eczema (Atopic Dermatitis): This is a common condition in infants, characterized by itchy, inflamed skin. The neck is a typical area of involvement, and the age of the child fits within the common presentation range for eczema.
Other Likely Diagnoses
- Contact Dermatitis: This could be due to an allergic reaction or irritation from something the infant's skin has come into contact with, such as a new laundry detergent or a necklace.
- Seborrheic Dermatitis: Also known as cradle cap when it affects the scalp, this condition can also cause a rash on the face, neck, and other areas, often appearing as a red, oily, scaly patch.
- Impetigo: A contagious skin infection that can cause red sores on the face, but can also appear on the neck, often accompanied by honey-colored crusts.
Do Not Miss Diagnoses
- Meningitis: Although rare, a rash on the neck could be a sign of meningitis, especially if accompanied by other symptoms like fever, irritability, and a bulging soft spot on the head. Meningitis is a medical emergency.
- Kawasaki Disease: This condition mainly affects children under the age of 5 and can cause a rash, fever, and swelling of the hands and feet. It's crucial to diagnose early to prevent complications like heart problems.
Rare Diagnoses
- Staphylococcal Scalded Skin Syndrome (SSSS): A rare but serious condition caused by staphylococcal toxins that typically affects infants and young children, leading to widespread blistering and peeling of the skin.
- Congenital Syphilis: If the mother has syphilis, it can be passed to the baby, causing a variety of symptoms, including skin rashes. This is less common due to prenatal screening but remains a critical diagnosis to consider.