Rashes in Kids: How to Tell if it's Coronavirus


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Over the past year, it has been noted that most coronavirus cases in children have been mild.

However, some children experience a rash as a part of their coronavirus symptoms, and it is sometimes the only symptom they experience.

We now know that symptoms of coronavirus can include:

  • Fever

  • Coughing

  • Red or purple toes (or fingers), swelling on the toes (or fingers), possibly with a small amount of pus

Sometimes the rash appears on fingers. Wherever it appears, it can be purplish or start out red and then turn purple. If you notice a rash on your child’s fingers or toes, often called “COVID toes,” along with the other listed symptoms, .contact a medical professional.

If your child has been diagnosed with coronavirus in the past, it is possible they might develop multisystem inflammatory syndrome (MIS-C) which can appear with a variety of other symptoms:

  • Rash

  • Bloodshot eyes

  • Discolored, cracked lips

  • Swollen and discolored hands, feet, or both

  • A swollen tongue that looks like a strawberry

Other possible symptoms of MIS-C can also include:

  • Fever that lasts for days

  • Abdominal pain (a tummy ache)

  • Vomiting

  • Diarrhea

  • Swollen gland in the neck

  • Confusion

  • Trouble staying awake

Doctors believe MIS-C is happening because the child’s immune system overreacts to the coronavirus infection. If your child is diagnosed with MIS-C, they are no longer contagious for coronavirus. MIS-C can also affect different areas of the body, including swelling in the heart and lungs. If you notice any of these symptoms in your child, contact your medical professional. Fortunately, most children recover from MIS-C with medical care.

If you have a rash that is not healing or have questions about coronavirus or COVID toes, call us at 828-253-2533 and make an appointment with our board-certified dermatologists!     


About

Dr. L. Evan Michael

Dr. Michael attended medical school and graduate school at the University of Michigan in Ann Arbor, where he earned his M.D. and his Ph.D. in Cellular and Molecular Biology. He received his Dermatology and Dermatopathology training at the University of Alabama at Birmingham, and at Memorial Sloan-Kettering Cancer Center and Cornell University Medical Center in Manhattan, New York.

He recently relocated to Asheville from the Atlanta area with his wife and their two dogs.

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