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Expert Q&A:
How do I know if my 14-month-old baby's rash is a heat rash?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


How do you know when a rash is a heat rash? What do you do to treat the rash? My 14-month-old baby's rash is around her neck and consists of little red bumps.

Answer


Heat rashes are one of the most common rashes in infants and toddlers. They start when something obstructs the openings of sweat glands on the skin, perhaps excessive clothing or because the baby has been lying in one position for a prolonged period. Heat rash is common during summer months because of overheating, but also appears during the cooler fall or winter months, usually because of overdressing. The rash shows up as tiny little red spots and bumps, and is most common on the chest, abdomen, back, neck, and upper arms. Heat rash usually disappears on its own in a day or two. Cool baths may be helpful, and avoidance strategies are important: Avoid "over-swaddling" (dressing your baby in too many layers of clothing) and keep the ambient temperature at a comfortable level. Rashes that look similar to heat rash include viral or fungal skin infections and drug reaction rashes. Your baby's doctor can help to distinguish among these if there is any question.

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