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Some contact thing.
What happened a few days before she got the rash?
Hip, knee, ankle...sounds like someone was holding her and they may have had something on their hand that did not agree with her skin.
How is she otherwise? Does she have any other symptoms? Is she crying because of it or scratching?
It's the vesicular look coupled with the dermatomal pattern that made me suggest shingles. Pustular psoriasis would be bilateral, and this one follows a specific dermatome.
Hope you get an answer (and a plan!) soon. I agree with leaving it alone - it doesn't sound as though it's bothering her much, and many treatments (other than gentle cleaning and emollient ointments) have potentially serious side effects.
Vesicular means that they look like pimples but with clear fluid instead of pus/white fluid. Bilateral means both sides of the body - and dermatomes are patterns on the skin of supplied by specific nerves, and they stay on one side of the body only.
|: I really like rashes and skin diseases . . . .[/|
ITA with Gretasmommy - looks like Shingles. Surprised to see it it someone so young, though! Has she had chicken pox (or been exposed to it previously?) And has she been under some sort of stress that might compromise her immune system?
And also to gretasmommy - great description of shingles!
Herpes and shingles are "cousins" of sorts - each individual lesion (vesicle) looks the same, but the way they cluster on the body looks a bit different.
You can only get the shingles from within your own body - having had chicken pox or the vaccine. No other way. I wouldn't put the hydrocortisone on it. Leave it alone and keep it covered by clothing so it doesn't spread to others if it is shingles.
Thanks, Mindi! G had shingles at 17 months - had varicella vax at 12 months. Mild rash, but shingles. It really didn't bother her at all - it bothered me much, much more!
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