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小花的馬麻

小花長疹子

2006年09月21日
真的很怪,
星期一晚上高燒一夜退了之後,
星期二星期三小花都perfectly fine,
到星期四傍晚馬麻幫小花換布布時發現花花下腹有些微紅疹,
馬麻本來以為有可能只是包布布的輕微irritation,
結果晚上吃完飯再一翻,
唉呀,小紅疹爬滿花花的腹部和整個背部啦!

除了紅疹之外,花花的食慾和活動力都不差,
現在是星期五早晨,
待會打電話給Dr. Min看看...
唉,希望只是一般病毒感染囉!

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結果Dr. Min回電說很可能是Roseola,玫瑰疹。
馬麻上babycenter簡單查了一下,
嗯,症狀果然頗像!
---My toddler has a spotty, pinkish-red rash on his stomach. Could it be roseola?
---It may be. If your toddler recently had a fever and now has a spotty, raised or flat, rosy-pink rash, it could be roseola, also called roseola infantum. A fairly mild and common viral disease, roseola usually strikes children between 6 months and 2 years of age. Roseola is caused by a kind of herpes virus, although not the type that is sexually transmitted.

---What are the symptoms of roseola?
---Roseola usually starts out with a sudden, relatively high fever, often above 103 degrees F. The fever typically lasts three to five days and then may end abruptly, followed by the rash. The rash is red and may have small flat spots or raised bumps. These spots may have a lighter "halo" around them, and they may turn white when you press on them.
The rash isn't itchy or uncomfortable, and it may last for days or only hours. It's usually greatest on the child's trunk and neck, but it can extend to the arms, legs, and face. In general, children with roseola don't appear especially ill considering how high their fevers get.
Occasionally children with roseola have a febrile seizure, brought on by the rapid rise in temperature. If this happens, your toddler may become unconscious and jerk his arms, legs, or facial muscles for two or three minutes. He may also lose control of his bladder or bowels. Although frightening, fever-induced convulsions in young children are seldom serious and rarely harmful. If you can, try to time the length of the seizure. Your child's doctor will want to know how long the convulsions lasted.

---Should I call the doctor?
---Yes. If your toddler's fever is over 101 degrees F or if he has an unexplained rash, call his doctor. She'll ask you about your child's symptoms. If the fever persists and if the rash lasts longer than a couple of days or changes appearance, the doctor will probably want you to bring your child in for a visit.
If your child has a febrile seizure, call the doctor right away.

---How should I treat roseola?
---There's no specific treatment for this viral illness. The most important thing you can do is make sure your toddler rests and gets plenty of liquids. Ask your doctor about ways to safely bring down your toddler's fever. She may suggest children's acetaminophen or a lukewarm sponge bath. (Never give a child aspirin. It can cause Reye's syndrome, a rare but deadly disease.) Like most viruses, roseola just needs to run its course.

---Is roseola contagious?
---Yes, particularly among young children. Roseola is usually spread by respiratory droplets or the saliva of an infected child, but because the child is contagious before he has symptoms, there's often no way to avoid contact. Keep your toddler home from daycare and away from others while he has a fever. It's probably a good idea to keep him home until the rash is gone, although he'll be less contagious once he has the rash than he was when he had the fever.
Make sure all family members — especially those taking care of your toddler — wash their hands frequently. (This is a good idea even in the fever stage because you don't know that you're dealing with roseola until you see the classic rash.) The good news: Once your child has had roseola, he'll probably have lifelong immunity to it.