Strange Rash Spreading

Updated on December 18, 2007
A.C. asks from Keller, TX
14 answers

My son is 14 months old, and I babysit an 11 month old boy too. Back in October, I told his mom that I've noticed a rough, red rash on both of his feet. She said it was just dry skin. My son hasn't had this, so I took her word for it. Then it spread up to a little mark on one of his calves, and behind both knees. I mentioned it again because the feet don't seem any better (worse maybe??) and it was spreading. The mom said it was dry skin and got defensive. I asked if I should be doing anything for it, and she said no she's taking care of it. I know that he is allergic to stuff like sweet potatoes, lavendar lotion, etc and so I don't want to use anything that the mom doesn't give me, and she has said not to mess with it and she'll take care of it. Now it's gotten much worse behind his knees and is a little bit in the groin area, where the diaper elastic is. My husband thinks it may be that he's not getting bathed often enough(the mom did mention that her husband never bathes him, and she's pregnant so she may be tired and not giving him his baths either???). So, Friday I went and bought some plain Johnson's soap (my son uses scented soap but I hesitate to use any perfumes on this little boy) and gave him a bath myself. His mom seems to think she needs to be defensive about this, too. My question is: what in the world am I supposed to do here? I've only had one child and he had no problems with rashes so I don't have any experience. The boy comes here every morning with a dirty face, but other than that and (POSSIBLY) not getting baths he isn't in bad shape---he eats well, interacts well, his clothing is fine, etc, so it's not like an abusive situation that I'd need to report. I just don't know how to help him out, and how to deal with his parents. It doesn't seem to aggrivate him though: he's not rubbing or scratching. Any thoughts??

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So What Happened?

I decided if the parents were too overwhelmed (or whatever) to deal with it, I'd put pressure on them in a way that was less likely to make them defensive directly at me, and to get something done. His grandpa came to pick him up and I calmly mentioned that the rash was getting worse and that I'd like to help but didn't know what ointment I should use. He asked what rash, so I had him sit down and showed him everything, told him how long it's been going on and that I have spoken to the mom but she just thinks it's "dry skin", but that I was certain the doctor would be able to give us something to help. They went to the doctor yesterday and he does have eczema. Not contagious, but we got a cream for him now. Thank you guys for your thoughts!

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E.D.

answers from Dallas on

My child was born with excema and allergies... neat huh? lol
Does that make me an expert... no. However, it sounds more like allergies to me. For instance, my son has to wear 100% cotton. Not fleece, nothing with polyester, acrylic, NOTHING but cotton. It is a BIG giant PAIN.
At the very least this person should ask their personal pediatrician, as RASH is not normal and needs to be addressed in some form/fashion. Nor is it typically a parent's fault and it strikes me as ODD that she is defensive about it. She should be happy you noticed it.
Try AQUAPHOR on it. It is expensive... comes in tubs and tubes. That will keep his skin moist and has healing qualities. There are other things as well that may help. Keep cotton socks on him and put a cotton blanket on the floor when he sits.
To this day I get a rash if I sit straight on the carpet. So does my son.
GOOD LUCK!

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D.O.

answers from Dallas on

Those symptoms really sound like eczema to me as well. Eczema is a reaction to a sensitivity/allergy to something. My boys suffered from severe eczema. Their pediatrician, allergist, & dermatologist (Dr. Ghali) could not figure out what was causing their severe skins problems. Through process of elimination we realized that they were sensitive to preservatives and other chemicals commonly found in bath/body and cleaning products. I would recommend getting a really good moisturizer. We use Renew and it is better than anything else we have ever used. It keeps their skin really soft and it is not greasy at all! Even Cetaphil and Aquaphor didn't help at all. It is important with eczema that you do not use any sort of soap too often (it can dry out the skin even more). We use Koala Pals body wash for their baths. Once (or if) you find something that seems to help, recommend it to his mom. Good Luck!

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T.T.

answers from Dallas on

I think it is prob eczema or a allergic to something he is wearing.

If he is not getting baths that often it could be making the eczema worse. Also with a child with eczema the water shouldnt be too warm it makes it worse. They need to use dye and fragrance free laundry soap and bath products. Lotion his body as often as you can to keep his skin moist.

It is odd that she is defensive about it. She might feel that you are taking the place as "Mom" in his eyes and be a bit jelous about not being able to spend as much time as she wants to with him. Plus, she could feel that you telling her about it that you think she is a "bad mom".

There is nothing wrong with what you did!

I would ask her if she would like for you to bath him after lunch time since the father is really busy and this will help them out.

I would explain that you think that their might be a possibility that he might have eczema and that it might be a good try to use a dye and frangrance free laundry soap on his laundry. Just to see if this helps...

As a daycare provider it is your right to say something to her about it. You dont want to risk anything being given to your child. If she still fights you on it and since it is spreading I would let her know your concern for her child as well as yours re the rash...and that you need a note from the doctor letting you know what it is and if is contagious to the other children as well.

My daughter goes to a dermatologist for her eczema. He gave us a steroid cream to use on it.

Pediatric Dermatology
Ghali, Fred MD
1325 W Northwest Hwy,
Grapevine, TX 76051
###-###-####

We love him...he even looked at my daughters birthmark and help let us know if it had a risk for be cancerous or not. Which it did and ref us to a plastic surgen to remove it.

Good luck!

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C.H.

answers from Amarillo on

You hav e a responsiblity to that child and your own, if he was in regular childcare he would need a Dr. Note. So my suggetion is tell the mother you will need a Drs. Note for you to continue care. I would hate for this little boy to have something and the mom not telling you and exposing you and your family to it.

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J.P.

answers from Austin on

I agree with the other moms, it could be exzema, however, it is not your responsibility to administer medical care to this child. It is her responsibility to get the child to a doctor and then fill you in on his care. If it is exzema and he is on medication, she should be letting you know and or giving you medication for her son. At this point, I would be more concerned with her attitude than the boy's rash. If she is getting defensive and his rash is getting worse, I would really look for another child to babysit. This is not to sound harsh, but you know the boy is getting worse, you and your husband both feel for this child and are not receiving a welcome response from mom (with or without medical care). The last thing you need is something happening to this little boy (like a full blown allergic reaction to something you are trying to do because mom wont) and having her blame you for it or hold you responsible for whatever happens.
I agree that she could be doing more, but if it was me, I'd look for other options! Don't set yourself up for a lawsuit.

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C.A.

answers from Dallas on

Sounds possibly like eczema. Here's the definition from Wikipedia: These include dryness and recurring skin rashes which are characterized by one or more of these symptoms: redness, skin edema, itching and dryness, crusting, flaking, blistering, cracking, oozing, or bleeding.I used to babysit a little boy with this condition, and it worsens in the winter/colder weather it seems. His mother provided a cream from her pediatrician. My 6 year old son has a bit of a problem with the dry/bumpy skin along the top of his arms durning the cold months as well, and I find Aveeno lotion, with oatmeal and it's also hypoallergenic to work well. I don't think a rash spreading up from his feet sounds like it's from being dirty. I don't think she should get so defensive though. Since you are his caretaker, she should share all the information with you and things that she's been told by the pedi. that could do to help during the day. Some mother's are just a pain! The only other think I can think of and hope it's not is scabies. That spreads and is usually contracted by animals and filth, etc. It is also contageous and does require a prescription cream to be applied all over the entire body. Have you asked her simply what has his pedi. said and, what has he/she suggested could work because you'd be happy to apply it to him during the day to help her(and him) out? Poor baby. It's sad, but if she gets so defensive over something like this, I can't imagine how she is about other things! Good luck

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G.K.

answers from Austin on

As a caregiver, you have the right to request medical confirmation that the rash is not contagious. If the child was in a daycare, the note would already have been requested and if the condition was due to lack of bathing, state officials would have already been notified because it is a form of neglect.

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S.T.

answers from Houston on

IT might be excema. You might try some lotion for that to see if it helps.

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R.

answers from San Antonio on

He probably has eczema, which is an allergic rash and can be made worse by too many baths. It is also worse in the winter due to the dry air and heater. The best thing for it is moisturizer such as aveeno. It is not contagious, but can be very hard to get control of. My son has had trouble since he was small and needs steriods to help (topical cortizone helps alot). He should see an allergist for the best treatment, but a regular pediatrician should be able to help too.

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T.F.

answers from Dallas on

If his mom is so defensive, sounds to me there is a reason behind it! If I and most any other mother was in her shoes, I would appreciate any help I could get. She needs to take him to a dr. and if she doesn't, I would think it is your responsibility to contact someone-that is neglect, even in mild forms. It may not bother him too much now, but it could in the future (could keep getting worse and cause allergy probs) and it is her duty to try to find a reasonable cause and treatment.
I hope I'm not sounding too harsh, but you have to realize that in your business, if this continues, it could come back on you and you don't need that!

Please don't put your business and name in jeopardy b/c this mom wouldn't take her son to the dr. and you didn't successfully walk on glass without breaking it to make everyone happy!

Just my opinion!
Best of luck!
T.

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K.G.

answers from San Antonio on

My son get's exactly what you are talking about. It's called ezama (sp?) The doctor told me to use Eucerin lotion it's over the counter I think it comes in a really tiny tube and its really expensive, you could try that on that baby just rub the lotion in really good. My son gets it on his face, behind his knees, on his hand. . .Hope this help's. I would do that 3 times a day at least, or whenever you change his diaper.

Blessings

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J.A.

answers from Amarillo on

My son had the same thing, it sometimes got so bad that it would bleed. The correct name for it is eczema and soaps definitely make it worse. My sons pediatrician had us bathe him no more than twice a week and with plain water only until he was about 3 years old. I had to be very careful what detergent I used to wash his clothes too. The best thing to do for his rash is to put unscented lotion or cream on it. I found cetaphil to work the best. She is probably only defensive because she doesn't want you to think there's anything wrong with her son or that she isn't doing her job correctly. One other thought, you can also let him run around your house in just a diaper to prevent his clothes from rubbing on it.

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H.C.

answers from Houston on

My 15 mos old has exzema, and to a severe degree. In her early months it began on her feet and the crease of her legs,elbows,and wrists. And know it is all over. She is currently being treated with steriod creams. I also use aquaphor and eurcin. You stated you feel like he's not being bathed enough maybe. But I do not think that would have any bearing on his rash. In fact both my daughters pedi and dermatologist advise we bathe my daughter as little as twice a week. I was shocked. The rash could very well be exzema or a food allery that brings the exzema on. Since you are the boys caregiver, I can't imagine why the mother wouldn't share with you any more details. Also, Johnsons soap might not be mild enough. Cetaphil is said to be the mildest soap.
I'm gald to hear that he doesn't seemed bothered by it. My daughters is itchy. Good luck with the communication issue with the mother.

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J.

answers from Houston on

Could be something called Fifth's Disease. Its not as scary as it sounds. It's a childhood virus that most kids get at one point or another. Some get it and don't even know it. Sometimes it may cause a red cheeked look too, like the face has been slapped. My daughter got this last spring. I took her to the dr and he gave her prednizone (steroid) to help deal with the rash, and it worked great! She only took it a few days. Sounds like it's worth the Mom taking him to the doctor just to have it checked out. Just a thought...

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