Evil rash - butt picture warning - T's not mine

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TiggersMommy's picture
Joined: 02/14/10
Posts: 6043
Evil rash - butt picture warning - T's not mine

T's had this rash for over 2 weeks now. It started on her butt cheeks and has spread to her legs and arms. Its raised and becomes red when she scratches it (because is itchy). Her doctor said its contact dermatitis (an allergic reaction to something her skin came in contact with) and told me to apply 1% hydrocortisone 3 times daily. I've been doing that and its done nothing. Its actually spread. He also gave me a prescription for a stronger steroid that I'm going to fill on Tuesday if its not better by then. I've also tried my Angel Baby Bottom Balm, calendual oil, Aquaphor, and now coconut oil. Nothing seems to help.

While I'm trying to make her more comfortable and treat the rash, I'm also trying to figure out what on earth is causing it. The doctor said its not something she ate so I'm concentrating on things I use around the house. I haven't changed anything in months so I'm kinda lost. I'm starting with our laundry detergent. I already use Free & Clear detergent on our cloths & bare minimum Crunchy Clean detergent on her trainers and night time diapers. Aside from her body wash/shampoo, sun screen, and bug spray I don't really put anything on her. I clean with vinegar mostly so its not some chemical she's picking up off the floor or something.

What else am I missing? Is there something else I can try for her skin?

Here's a pic of the offending rash.

abacaxi's picture
Joined: 02/27/10
Posts: 363

What about the new clothes she got for her birthday? Sometimes there are chemicals from the dyes or from whatever color brightener they put on them.

Or could it be a teething rash (since you previously mentioned more teeth coming in)?

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

While the redness isn't coming through in the picture, it looks uncomfortable and just not good. If you haven't changed anything at home is there something at daycare that could be causing it? Maybe make an appt, with a dermatologist?

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

Hmmm. She only got like 2 outfits for her birthday and hasn't worn any of it in a while and its gotten much worse since.

She's had teething rashes before and this looks different. Its also not on her drool spots or in her butt crack.

Daycare doesn't put anything on her that I haven't supplied. They do wash her crib sheet so maybe its a detergent they use? Something in the sand in the playground?

If its not better in a week or so I'll think about taking her to a dermatologist. We don't have good health insurance for her so I'd have to have a strong feeling that a dermatologist would be helpful. Perhaps another trip to her doc would be in order first.

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

It could also be something the daycare uses to clean toys or floors, anything she might sit on or somehow come in contact with. . . the possibilities are endless. I hope it goes away soon.

Newlywed630's picture
Joined: 07/20/07
Posts: 770

Has she been sick lately? My kids both have a very similar rash and when I took them to the dr they said it was a viral rash.

BuckeyeK's picture
Joined: 10/23/06
Posts: 3087

Poor kiddo! Have you tried Tea Tree Oil? Whenever we have mystery rashes (including one that even baffled the dermetologist) tea tree oil has done the trick. I fill a container with 1/2 c water, add a few drops of TTO, and dab it on once or twice a day. 3 of the 4 of us (DD1, DD2, and DH) have had weird rashes and had good luck with it, even when the steroids didn't work.

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

"Newlywed630" wrote:

Has she been sick lately? My kids both have a very similar rash and when I took them to the dr they said it was a viral rash.

Nope. No illnesses aside from the usual daycare snotty nose.

"BuckeyeK" wrote:

Poor kiddo! Have you tried Tea Tree Oil? Whenever we have mystery rashes (including one that even baffled the dermetologist) tea tree oil has done the trick. I fill a container with 1/2 c water, add a few drops of TTO, and dab it on once or twice a day. 3 of the 4 of us (DD1, DD2, and DH) have had weird rashes and had good luck with it, even when the steroids didn't work.

I dabbed some on a few days ago. DH freaked out. The smell reminds him of his late mother (not a good thing if you recall). Anyway, it didn't do anything and he's forbid me from using it again.

BuckeyeK's picture
Joined: 10/23/06
Posts: 3087

It does stink. In our experience, you've got to keep using it for at least a week. If you dilute it the smell isn't as bad.

jolly11sd's picture
Joined: 02/02/05
Posts: 3327

Is she using the potty at school? Maybe what they clean it with. Carpets or floors professionally cleaned lately at school? Fertilizers or sprays used in playground recently? Maybe the school switched cleaning agents.

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

If it doesn't improve after I make some changes at home, how would I approach daycare about what they use? I've actually been suspecting it is something potty related because it popped up just after we ditched diapers during the day and she went full time potty at school and the rash started on the part of her butt cheek that touches the potty. Maybe they use some harsh chemical to wash the potty seat? Do you think I can convince them to use something more natural? Or are those things determined by state regulations?

cactuswren's picture
Joined: 10/19/09
Posts: 4658

I actually read in my potty book today that you shouldn't wipe potties down with anything harsher than a baby wipe because some kids can get a reaction to the harsher stuff...might be at least worth asking what they use? Not sure where to go from there but it's a start...

Sad

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

I agree with Leigh. Since she has a rash on her bum, I'd inquire about what they use just straight up. "Hey my kid has an allergic rash on her bum and I need to know what you use to clean the potty at daycare." Surely they can understand that.

alwayssmile's picture
Joined: 08/26/07
Posts: 14483

I'd just tell someone up front about her rash on her butt and not being able to find a cause at home for awhile now. Ask what they clean the toilet rims with. They'll have to contact whoever does the actual cleaning, but you should know by the end of the day (at least we would at the centers I've worked at). It happens and as good as your center sounds they'd want to help you get to the bottom of this.
I hope it's as simple as toilet cleaner!

rubber_da_glove's picture
Joined: 12/31/07
Posts: 1527

I have no advice on the rash but I love that you had to clarify that it was going to be a pic of Tegan's butt and not yours Blum 3

devermee's picture
Joined: 07/24/06
Posts: 239

When DS had a diaper rash it seemed like forever & tried several different types of creams, we finally used Triple Paste at the advice of my daycare provider & that helped. It was a different type of rash but another possibility for creams to try? I agree with pursuing checking with daycare about how they clean the potty seats, etc.

tink9702's picture
Joined: 09/28/08
Posts: 2977

Have you tried an oatmeal bath to help with the itching? It won't solve the problem, but she might feel better! You just grind up loose oats and throw like a 1/2 a cup to 1 cup in with bath water. Don't use soap/shampoo with this though! It really improves itchiness and even reduces redness. It won't make the bumps go away, but it will make her feel better!

I hope you find out what it is soon!

cactuswren's picture
Joined: 10/19/09
Posts: 4658

Google Chronic Cumulative Irritant Contact Dermatitis...would make sense if it's a reaction to something built up over time since nothing you're aware of has changed recently. And a lot of pics I'm seeing do look very similar to T's rash.

From here: National Guideline Clearinghouse | Guidelines for the management of contact dermatitis: an update.
Definitions

The words "eczema" and "dermatitis" are often used synonymously to describe a polymorphic pattern of inflammation, which in the acute phase is characterized by erythema and vesiculation, and in the chronic phase by dryness, lichenification and fissuring. Contact dermatitis describes these patterns of reaction in response to external agents, which may be the result of the external agents acting either as irritants, where the T cell-mediated immune response is not involved, or as allergens, where cell-mediated immunity is involved. Contact dermatitis may be classified into the following reaction types:

Subjective irritancy – idiosyncratic stinging and smarting reactions that occur within minutes of contact, usually on the face, in the absence of visible changes. Cosmetic or sunscreen constituents are common precipitants.

Acute irritant contact dermatitis – often the result of a single overwhelming exposure or a few brief exposures to strong irritants or caustic agents.

Chronic (cumulative) irritant contact dermatitis – this occurs following repetitive exposure to weaker irritants which may be either "wet," such as detergents, organic solvents, soaps, weak acids and alkalis, or "dry," such as low humidity air, heat, powders and dusts.

Allergic contact dermatitis – this involves sensitization of the immune system to a specific allergen or allergens with resulting dermatitis or exacerbation of pre-existing dermatitis.

Phototoxic, photoallergic and photoaggravated contact dermatitis – some allergens are also photoallergens. It is not always easy to distinguish between photoallergic and phototoxic reactions.

Systemic contact dermatitis – seen after the systemic administration of a substance, usually a drug, to which topical sensitization has previously occurred.

In practice, it is not uncommon for endogenous, irritant and allergic aetiologies to coexist in the development of certain eczemas, particularly hand and foot eczema. It is important to recognize and seek in the history, or by a home or workplace visit, any recreational and occupational factors in irritant and allergic dermatitis.

BuckeyeK's picture
Joined: 10/23/06
Posts: 3087

How's the rash? Any luck finding out daycare's cleaning products?

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

Thanks, Leigh!

I put the stronger prescription steroid on her butt and thighs last night and its actually looking somewhat better today. I didn't want to cover like 80% of her body in the stuff and send her to sleep. I had DH put it on from the waist down this morning. I hope this kicks it.

Apparently, this sort of contact dermatitis can be the result of something she came in contact with weeks ago. Its not necessarily something she's still coming on contact with. I plan to kick its *** and then do a spot test. My two primary candidates are 1) something on the toilet at daycare and 2) mine & DH's body wash. I gave DH instructions to ask T's teacher about cleaning products this morning. No news came from that. I plan to talk to the program director later today. The reason I'm suspecting the body wash is that our shower was a little clogged about 2-3 weeks ago. Before I got fed up and Draino'd it, it was to the point that about an inch or so of water was collecting on the shower floor. So, T was kinda sitting in the shower water for a week or so. Her legs, bottom, and probably the backs of her arms were coming in contact with the soap that came off me or DH when we shower together. I've noticed in the past that she'll have a little redness after DH gets lazy and uses our soap on her. So maybe her sensitivity increased and she just got a whopping dose because of the drainage issue. That would be super easy to fix. I'm hoping its that and not a daycare thing.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

Ooh, interesting. And yes, that's what I was seeing too--that it could be from something non-obvious because it was over time (or, as you say, a while ago). Sounds like a reasonable theory, and I hope you're right!

Glad to hear the cream seems to be making a difference in the meantime...

alwayssmile's picture
Joined: 08/26/07
Posts: 14483

Interesting theories! Glad the cream is helping.

tink9702's picture
Joined: 09/28/08
Posts: 2977

seems like a reasonable explanation regarding the body wash. My DS is super sensitive to soaps/washes etc. Anything with any kind of perfume is a major issue for us. I use non-scented everything in my house because of it.