Large spots on the child's body. Red spots on a child’s body: main causes and treatment methods

A real nightmare for mothers and fathers is the “blooming” of the child’s skin. In medicine, red spots on a child’s body are manifestations of exanthematous infections, allergic and other diseases. Parents do not need to be afraid of rashes, but should worry about the cause of their appearance. A child becomes covered with red spots for a reason, but because of the skin’s reaction to changes within the body and in the environment. The degree of influence of such rashes on the health of children varies, and their treatment and prevention differ.

Rashes or exanthemas on the skin appear due to inflammation, which is accompanied by vasodilation and infiltration in the tissues. Among the elements of the rash, primary and secondary are distinguished. Spots, nodules, bubbles and blisters belong to the first group. Scales, crusts, cracks, erosions, and pigmentation disorders are considered secondary. Such processes in the skin are characteristic of infectious and non-infectious diseases that “trigger” inflammation in the dermis.

Signs of a spot as an element of a rash:

• usually does not protrude above the level of healthy skin;
• formed at the site of vasodilation;
• most often has an irregular shape;
• diameter varies from 0.5 to 2 cm.

A rash in the form of dots with a diameter of 0.1 to 0.5 cm is called “roseola”. For example, with scarlet fever. Rubella is characterized by a small-spotted rash with spots ranging in size from 0.5 to 1 cm. With measles, large red spots appear on the child’s head with a diameter of 1–2 cm. The characteristics of the rash, namely the shape and size of the elements, their number, color, location, are required taken into account by doctors examining a sick child. It is also taken into account that the spots disappear when pressure is applied to them, and appear again after the pressure is removed. If bulging skin tumors appear, they do not disappear with pressure.

A maculopapular rash rises above the level of the epidermis. If the red spots do not disappear when the skin is stretched, then this is hemorrhage. The appearance of such elements is associated with damage or increased permeability of the capillary walls. The spots are red at first, then they turn yellow. The smallest hemorrhages are petechiae - no more than 0.5 cm in diameter, larger ones are purpura and ecchymoses.

Doctor, Candidate of Medical Sciences A.S. Botkina (Moscow) in one of her publications in the journal “Pediatrician Practice” notes that various skin lesions account for 30% of all requests. A child health specialist reminds that the most significant causes of skin changes are dermatological problems and allergies.

Another group of factors requires special attention, namely infectious diseases. Sometimes exanthema becomes a sign of a microbial or viral infection, which allows you to make a diagnosis as soon as possible and begin treatment in a timely manner.

Six classic childhood diseases

At the appointment, the pediatrician will definitely ask about when the rash appeared and about the presence of itching. When examining a child's throat, rashes on the mucous membranes may be detected. For example, small spots on the inside of the cheeks appear in children with measles. A symptom of scarlet fever is petechiae on the palate.

It is important to take into account all manifestations: rash, fever, intoxication, sore throat, cough.

When a child has red spots all over his body, the possibility of infection with one of the 6 classic childhood infectious diseases cannot be ruled out:

1. Measles.
2. Scarlet fever.
3. Rubella.
4. Infectious mononucleosis.
5. Erythema infectiosum.
6. Sudden exanthema (infantile roseola).

In medical literature, especially foreign ones, diseases are called by numbers: “first”, “second” and so on until “sixth”.

Measles

In developed countries, cases of this disease are few and do not become epidemics. Measles is characterized by the appearance of bright red spots approximately 5 days after the onset of the disease. The elements have scalloped edges and are prone to merging. At the same time, the mucous membrane of the palate becomes covered with pink dots. The child has a fever and sore throat.

Scarlet fever

Dots and spots of bright pink color appear already on the first or second day of the disease. Elements of the rash are located against the background of reddened skin, thicker in the groin folds, armpits, neck, and sides of the body. The rash persists for about a week, after which flaky elements remain.

At the same time, the child develops symptoms of a sore throat, the pharynx becomes “flaming” red, and the nasolabial triangle remains pale. The tongue is initially covered with a white coating, but in the next 24 hours it clears and resembles raspberries. In modern children, scarlet fever often occurs without an increase in body temperature.

Rubella

One or two days after the onset of the disease, small red spots appear on the child’s bottom, as well as on the face, arms and legs. The spots disappear without a trace within 2–3 days. Redness of the throat, intoxication are mild, body temperature is subfebrile. Enlarged lymph nodes in the neck are characteristic.

Infectious mononucleosis

The causative agent of the disease is the Epstein-Barr virus, type-IV human herpes virus (HHV). Red spots and papules usually occur in children treated with ampicillin. Other symptoms of infectious mononucleosis: prolonged fever, inflammation and sore throat, swollen lymph nodes.

Erythema infectiosum

One of the clinical manifestations of parvovirus infection (B19). In foreign medical literature, mainly in English, fifth disease is often referred to as “slap marks” syndrome. In Russian publications you can find the following comparisons: “burning” or “slapped” cheeks. First, dots appear on the face, then they increase in size and merge into large red spots. These changes may be accompanied by itchy skin.

Two days before the rash appears, the child feels unwell, develops fever, nausea, and sore throat (in 30–35% of cases). Round pink-red spots appear on the shoulders, back and other parts of the body. The rash on the arms and legs appears less frequently. The infection is transmitted from patients only until the face turns red.

Sudden exanthema

The causative agent of the sixth disease or infantile roseola is HHV types VI–VII. Dry pink spots up to 5 mm in size become noticeable by 3–5 days of illness and disappear without a trace after a few days. The localization of the rash is mainly on the neck and torso, rarely on the face and limbs. Other signs of the disease: a sharp increase in body temperature to febrile levels, mild symptoms of general intoxication. The child may have seizures. Specific therapy is usually not required, only symptomatic treatment.

Spotted rash in children

Red spots signal health problems and are signs of several dozen different syndromes and diseases. If the rash is allergic in nature, then sometimes it is enough to take antihistamines or use ointments with glucocorticoids. This treatment is ineffective for infectious diseases. It is necessary to fight the cause of rashes - microbes and viruses.

Flu

The disease begins suddenly with a sharp rise in T° and general intoxication. Often a red spot appears in the child’s eye and nosebleeds. Occasionally, petechiae appear on the face and chest. The spots appear on the first day and disappear in the following days.

Hand-foot-mouth disease - enteroviral exanthema

Diseases are caused by enteroviruses, which are most active from spring to autumn. Measles-like enterovirus exanthema most often affects young children. Spots with a diameter of about 3 mm are located on the face and torso and disappear after a day or two. Roseola-like exanthema is also called “Boston disease.” The rash on the face looks like round pink-red spots with a diameter of 0.5–2 cm. The spots disappear without a trace one or two days after their appearance.

Hand-to-mouth disease or viral pemphigus are caused by Coxsackie viruses and enterovirus-71. Children under 10 years of age are most often affected. The oral mucosa becomes covered with painful pink-red spots and vesicles. In approximately 75% of cases, a rash appears on the face, palms and heels, sometimes spreading to the buttocks and genitals. At first these are small red spots, then single or multiple bubbles. The disease usually proceeds without complications. Treatment is predominantly symptomatic, for example, if the palms are itchy, then antihistamine drops are given.

Pityriasis rosea

The exact reasons for the appearance of a large, rough spot with a diameter of about 5 cm on the waist or thigh have not yet been established. Scientists suggest that the activity of herpes viruses increases against the background of immunosuppression. Later, small “daughter” plaques of light red, crimson or pink appear.

Ringworm

The spots are often localized on the back of the head and limbs, have the shape of a ring or oval, and are very itchy and flaky. Treatment is carried out with antifungal ointment "Mikozolon", iodine tincture.

One of the causes of a small or large spotted rash is infection with thrush pathogens (yeast-like fungi of the genus Candida).

Staphylococcal infection

The cause is some kind of infectious focus, for example a purulent wound or phlegmon. A pinpoint “scarlet-like” rash occurs 3–4 days after staphylococcal inflammation. The disease resembles a sore throat: fever, redness of the throat. Elements of the rash are densely sprinkled on the lower abdomen, located in the groin, in the natural folds of the body.

The introduction of pyogenic streptococci into the skin is the cause of streptococcal pyoderma. This pustular disease affects the body against the background of decreased immunity, deficiency of vitamins A and C, infection of wounds and burns.

Pseudotuberculosis

If a child is covered with red spots, then he may be infected with bacteria of the genus Yersinia. When children suffer from pseudotuberculosis, the rash looks like dots, spots and papules of varying diameters throughout the body. Clusters form on the palms in the form of “gloves”, on the feet in the form of “socks”, and “hood” on the head and neck. The body temperature rises, signs of intoxication are observed. After about a week, dry scales remain in place of the spots.

Red spots in diseases of non-infectious etiology

Spots on the testicles in boys and on the vulva in girls appear due to irritation of the delicate skin by feces, after overheating, in conditions of excessive humidity. Miliaria is a disease that accompanies infants. You should wash your child correctly and in a timely manner, and use only products that are safe for children’s skin.

Prevention of red spots in the groin area caused by insufficient hygiene in infancy is to change the diaper correctly . After removing the wet baby product, you need to wash the baby or wipe it with a damp sanitary napkin without alcohol. Allow the skin to “breathe” a little, then apply Bepanten or zinc ointment, or use Depatenol cream. After this, you can put on a dry diaper.

Skin acts as a kind of indicator of human health. Red spots can be the result of hundreds of different diseases. If you notice them on your child’s body, call a doctor to pinpoint the root cause. The doctor will carry out diagnostic measures and then prescribe the correct therapy.

Red spots, like bites, on a child’s body

Caring parents are horrified when they notice that their child has noticeable red spots. They are similar to insect bites on the body, but don't be fooled. Often, rashes of this nature are allergic in nature.

No. 1. Hives

They are blisters of pinkish pigmentation that are very itchy and cause enormous discomfort. Hives resemble mosquito bites, so these phenomena are often confused. If you scratch the rash, it will crust over. Spots develop against the background of allergies, physical irritants and inflammatory and infectious processes. Treatment is based on the use of children's talc with chamomile, which is sprinkled on the damaged areas. Also used are Claritin (an antiallergic drug), Enterosgel (sorbent) and Deperzolon (ointment). In combination, medications quickly give positive dynamics.

No. 2. Prickly heat

Red spots may be a result of prickly heat. It occurs on a child’s body when there is strong humidity, for example, due to diapers or tight clothing. It is characterized by small rashes that are localized close to each other. They are preferably located on the chest, shoulders and neck. In this condition, ointments and creams cannot be used. It is necessary to improve hygiene, rinse the baby with a decoction of the string, and remove moisture with talcum powder and chamomile. Soon all the pimples will go away.

No. 3. Allergy

Sometimes spots of reddish pigmentation appear due to insect bites that provoke an allergic reaction. The marks swell, itch, and sores appear. To eliminate itching, you need to make lotions with chamomile infusion or soda solution. Ordinary brilliant green will help cure bumps with non-bleeding wounds; in addition, it will prevent infection. If the rash does not go away after a week, visit a dermatologist.

Large red spots on a child’s body

If red spots occupy a large area of ​​the skin, urgent consultation with a specialist is necessary. He will determine the causes of tumors on the child’s body, and then prescribe a therapeutic course. Let's consider the most common diseases that provoke the appearance of extensive marks.

No. 1. Roseola nursery

It is characterized by a febrile state, which remains for a period of 3 to 5 days. Then the temperature drops and rashes appear. The spots are small, but can join together to form large, red-pink lesions. The rash does not stand out, does not swell, some spots have a whitish edge. Infantile roseola starts from the chest, face, then goes to the limbs and back. Treatment is based on antipyretic medications, plenty of fluids and bed rest. Soon the rash will disappear.

No. 2. Erythema

It occurs against the background of excessive expansion of the blood channels of the skin. It looks like a spider's web, repeating the paths of blood vessels. It begins with minor, point-like redness. It first appears on the face, then the spots merge together and spread to other parts of the body. Among the main causes of erythema are impaired blood circulation, burns from chemicals or the sun, and allergies. There is no treatment because this condition is considered natural. The rash will go away after a few weeks.

No. 3. Pityriasis rosea

Red spots reach large sizes. They are localized on the child’s body mainly on the chest, abdomen, and thighs. The rashes occupy a large area and have the shape of an oval or circle. They are some kind of plaques that occasionally peel off. When lichen occurs, the temperature rises, general malaise appears, and the lymph nodes become enlarged. The therapeutic course includes diet and antiallergic drugs to combat itching.

No. 4. Hives

It appears as round or oblong marks with blisters. In severe cases, the spots join together to form large lesions. This condition is provoked by infectious pathologies, liver and gastrointestinal diseases, hormonal imbalances, allergies to food and household chemicals. Children are prescribed anti-itch medications and vitamin complexes to boost the immune system. To combat the burning sensation, make compresses with diluted vinegar. Enterosgel must be used to cleanse the body of allergens and toxic substances.

Red, rough and flaky spots on a child’s body

If the red spots are rough in structure, you should urgently visit a specialist. He will identify the causes of complications in the child, and will also prescribe remedies for the rapid removal of tumors on the body. As a rule, the provocateurs are psoriasis, dermatitis, lichen versicolor, and eczema.

No. 1. Dermatitis

Appears as reddish markings. It is a skin reaction to irritants such as severe cold, heat, friction, exposure to alkaline or acidic compounds and cosmetics. The lesions affect the arms, the legs are practically unaffected (with the exception of direct contact with the irritant). Therapy begins with identifying and excluding the cause. Then the rough areas are lubricated with cream and lotions are made from a decoction of bay leaves.

No. 2. Tinea versicolor

Otherwise it is called pityriasis versicolor. A fungal disease in most cases develops after contact with an infected animal or person. Carriers of lichen versicolor are residents of hot countries, so after vacation, children often encounter flaky spots. They affect the chest, shoulders, back, and abdomen. Pigmentation is reddish, pink or brown. Due to severe peeling, skin particles remain on clothing. The disease is treated with antifungal drugs and moisturizers.

No. 3. Eczema

It is a complication of dermatitis. The red spots become rough and cause severe itching in the child. They are localized mainly on the face and rarely appear on the body. Eczema causes enormous inconvenience for children; it can become swollen and accompanied by blisters. To combat the disease, the same regimen is used as for dermatitis, but with the addition of hormonal external drugs.

No. 4. Psoriasis

An illness of a non-infectious nature in most cases is inherited, contributing to the formation of red, rough spots. The marks on the child’s body are very itchy and flaky. They affect the elbows, hands, and lower back. Since the disease is chronic, treatment is first carried out, then they switch to a maintenance course. Anti-inflammatory and antihistamine medications and physiotherapy are involved in therapy.

Other reasons for the appearance of red spots on a child’s body

Serious diseases or irritants can provoke a negative reaction of the skin. We will give a few more reasons that cause red spots. If you find a violation of the integrity of the epidermis on a child’s body, contact a doctor, do not self-medicate.

No. 1. Pityriasis rosea

Acute inflammatory process must be treated at its inception stage. Difficulties arise if the baby became infected from an animal, and the parents did not recognize the pathology in time. As a result, lichen takes on a chronic form, as pathogens are carried throughout the body by the bloodstream.

Among the main signs of the disease are sore throat, migraine, peeling of the skin, fever up to 37-38 degrees, swelling. Plaques vary in size and shape, sometimes they are localized on the scalp and cause bald patches.

Severe forms cause unbearable itching. The child scratches the spots, and bleeding wounds appear in their place. Treatment is long and difficult and includes the use of zinc-containing agents and corticosteroids. Weeping spots are treated with iodine.

No. 2. Allergy

Often, red spots in a child occur due to food allergies, not only on the body, but also around the mouth. This condition can occur without fever. In general, the baby feels good, the only discomfort is itching.

Additionally, with an allergic reaction, tearing, rashes, and a profuse runny nose appear. To eliminate itching and unpleasant symptoms, it is necessary to give the child a broad-spectrum antihistamine.

Also exclude fish, nuts, citrus fruits, mushrooms, baked goods, milk and other foods that can cause a negative reaction from the diet. The menu includes beef, sour milk, cucumbers, vegetable oils, and bread.

No. 3. Infectious diseases

Infectious diseases manifest themselves in the form of a skin rash with fever.

Common diseases:

• measles- a serious infection is accompanied by a temperature of 40 degrees, rash and itching;
• rubella- presents with extensive rashes all over the body, enlarged lymph nodes, sore throat;
• chicken pox- a common childhood disease accompanied by blisters all over the body;
• scarlet fever- the rash does not affect the nasolabial triangle, the lymph nodes become enlarged, the cheeks turn red;
• roseola- a transient disease, the temperature rises to 40 degrees, a rash forms, the infection goes away in 5 days.

It is important to establish the reason for the red spots in the child, and only then deal with the symptoms. The redness on the body will go away. The main thing is to bring down the temperature, relieve the itching and call a doctor.

No. 4. Photodermatosis

The disease is otherwise called photodermatitis. It is caused by high sensitivity to UV rays. Children under 3 years of age are at risk.

The disease is characterized by the following symptoms:

• itchy rashes are observed on open areas of the skin;
• the affected areas turn red;
• in the chronic form of the disease, the skin peels off;
• the rash resembles nodes or blisters;
• pigmentation appears after exposure to the sun;
• blood pressure decreases;
• the temperature rises;
• suffocation, runny nose, sneezing occurs;
• mucous membranes swell;
• eyes water.

If the body becomes covered with pink spots after a long stay in the sun, the baby is taken home and washed with water at room temperature. After this, antihistamines are given.

If the red spots that have formed on the child’s body do not go away within a week, and the temperature persists, you should consult a doctor. The baby may also experience a decrease in appetite, apathy, and lethargy. These signs often signal an inflammatory-infectious process, so you should not delay visiting a dermatologist.

Skin is the largest human organ, which is a kind of indicator of health, a barrier against various types of infections. But it is she who, most often, is the first to react to problems in the body, showing that something is wrong with health. Any inflammatory processes on a child’s skin, especially in the form of red spots, are a symptom that parents should not ignore.

The article will discuss the most likely causes of the rash with photos and descriptions, so that every mother can distinguish allergies from possible serious diseases.

Red spots on a child’s body can be not only bites, but also an allergic rash A:

• Prickly heat. Small, light pink pimples located close to each other. The rash is localized in the upper chest, neck and shoulders . First of all, it is important to maintain hygiene. During the hot period, water procedures are carried out in decoctions of chamomile and string. Baby powder will help remove excess moisture; you should not lubricate the skin with cream - a humid environment will provoke the appearance of new pimples.
• Urticaria often confused with mosquito bites - these are pink blisters that cause severe itching. When scratched, a bloody crust forms on them. Infections, physical irritants or allergies provoke the development of hives. For urticaria, the affected areas are treated with powder. Antihistamines are used in the treatment of mild forms: Zyrtec, Claritin, Telfast. The use of enterosorbents (activated carbon) has a positive effect. Use prednisolone ointment, Deperzolon or water-zinc pastes with 2-3% naftalan oil.

• Insect bites. Exposed areas of the body are covered with tubercles and red spots. The child is bothered by severe itching, but the general condition does not change. Wounds (not bloody) are lubricated with brilliant green to avoid bacterial infection. Lotions made from soda solution help relieve itching.

The insect rash goes away within a week; if this does not happen, the child should be shown to a dermatologist.

Extensive spots on the body. What could it be, what should I do?

There are quite a few reasons why red spots may appear on a child’s body. A photo with a description of the disease allows you to clearly see the characteristic differences between one pathology and another.

Causes:

• Erythema It begins with small dots appearing on the face, later merging into large spots and spreading throughout the body. This is a natural skin condition caused by excess blood flow to the capillaries. The cause may be poor circulation, allergic reactions, chemical or sunburn. The rash does not require treatment; it will go away on its own within 2 weeks and does not cause discomfort.
• Hives may be accompanied by small or extensive blistering spots. A rash of allergic origin is triggered by food, infectious diseases, and hormonal disorders. Children are prescribed medications that soothe itching and strengthen the immune system. Cool vinegar compresses (1 tablespoon per glass of water) eliminate the burning sensation;
• Infantile roseola. The child suffers from fever for 3-5 days, after which a bright, small, and in rare cases extensive rash appears on the skin. The most serious complications are limited to febrile seizures. The spots cannot be felt by touch; some elements are surrounded by white rings. The rash is localized on the chest, rarely reaching the face and limbs. Treatment consists of bed rest, drinking plenty of fluids, and taking fever-reducing medications.
• Pityriasis rosea. Judging by the photo with the description, such red spots on a child’s body can reach very large sizes. Large round or oval plaques appear on the patient's body. The spots are localized on the abdomen, chest, thighs, and there is slight peeling in the center of the lesion. At the same time, there is an increase in temperature, enlarged lymph nodes, and general malaise. The child is recommended to have a hypoallergenic diet and take antihistamines to relieve itching.

Red spots on a child’s body from urticaria (photo later in the article) develop against the background of liver pathologies, diseases of the gastrointestinal tract or leukemia.

A universal remedy is enterosorbents (Polysorb, White Coal, Enterosgel), which remove toxins from the intestines and cleanse the blood of allergens, improving the condition of the skin.

If the spots are rough and flaky

Flaky spots on a child’s skin can occur at any time due to allergies, infectious diseases or diathesis.

The most common pathologies accompanied by the appearance of rough spots:

• contact dermatitis;
• eczema;
• versicolor or pityriasis versicolor;
• psoriasis (scaly lichen).

Red spots on a child's skin from dermatitis occur as a result of exposure to external irritants: extreme heat, cold, cosmetics, friction, alkali or acid.

The hands most often suffer, less often the legs, if there was direct contact with an aggressive environment. The skin is red, rough and rough to the touch. Treatment: eliminate exposure to the irritant, smear the affected areas with a moisturizer. Pediatricians advise pouring 3-4 bay leaves into a glass of boiling water and adding the infusion to the baby’s bathing water to relieve itching.

Eczema is a complication of contact dermatitis. The rash appears mainly on the face: forehead, cheeks; these are red, scaly spots that cause unbearable itching. The treatment is the same as for the initial stage of the disease, plus hormonal ointments are prescribed.

Versicolor or pityriasis versicolor– this fungal disease is the result of vacationing in hot countries, close contact with an infected person or stray animal.

The spots are localized on the stomach, back, shoulders, chest and may have a pink, yellow or brown color. The peeling is strong and leaves marks on clothes and bedding. Therapy includes emollient and antifungal medications.

Psoriasis tends to be inherited. The disease is not contagious and appears as flaky and itchy red or pink spots. There are plaques on the head, hands, elbows, knees in the coccyx area.

The shape of the elements can be oval, round, ring-shaped, linear. Treatment is complex, including antihistamines, anti-inflammatory drugs, and physiotherapy.

Diaper rash and prickly heat

Red spots on a child's body with heat rash can look very different. The photo with description clearly demonstrates this. Most common in children, heat rash is a skin irritation caused by excessive moisture.

Sweat does not have time to evaporate, remains on the skin and causes discomfort. Miliaria blisters are localized on the back, buttocks, neck, armpits, and other places with high humidity.

The main difference between a rash and the manifestations of other diseases is that it never appears in the facial area and is not accompanied by an inflammatory process. Children can only fall asleep in a cool, well-ventilated room.

To get rid of the symptoms of prickly heat, it is necessary to eliminate the factors that cause pollution and waterlogging of the skin. If you provide good ventilation in the room and follow hygiene rules, the phenomenon will soon go away on its own. In advanced cases, body temperature may rise.

An allergic rash is extremely difficult to remove; it persists even after contact with the irritant has been eliminated.

Diaper rash (diaper dermatitis) is a complication of prickly heat, an infectious inflammation localized in the natural folds of the skin. The baby is capricious, sleeps poorly, cannot sit in one place - everything hurts and itches.

Pityriasis rosea

The worst type of infection to treat is infection from an animal; if the mother does not recognize the development of the pathological process in time, it will become chronic. As a result of complications, pathogenic fungi will begin to spread with the lymph flow throughout the body, affecting not only the skin.

Symptoms of the disease:

• slight increase in temperature;
• a sore throat;
• headache;
• the appearance of edema;
• different sizes of plaques and uneven edges;
• peeling of the skin.

When the scalp, including the scalp, is affected, bald patches appear in this area. Due to severe itching, the child scratches the skin, and bloody wounds form at the site of the spots.

Therapy for severe forms of the disease includes corticosteroid ointments and creams; itching and flaking are eliminated with products containing zinc. Wet spots are dried with iodine; in addition, the doctor may prescribe immunostimulants and multivitamins.

Infectious diseases

Red spots on the skin of children in the form of a rash that spreads throughout the body and is accompanied by an increase in temperature are one of the clearest symptoms of infectious diseases.

Such diseases include:

• Rubella manifests itself as a profuse rash on the body, fever, sore throat, and enlarged lymph nodes.
• Measles– an acute infectious disease accompanied by high body temperature – up to 40C°. The rash lasts for 10 days and is very itchy.
• Chicken pox– the most common childhood infection. Symptoms are blisters all over the body, often on the oral mucosa, high fever. Infection occurs in 100% of cases through contact with a sick child.
• Erythema accompanied by severe redness of the skin as a result of dilation of the capillaries due to the abundant blood flow. A rash appears on the limbs and genitals, causing severe burning.
• Scarlet fever differs in that there are no rash elements in the area of ​​the nasolabial triangle. In this case, there is an increase in lymph nodes, redness of the cheeks, and puffiness of the neck. The larynx becomes inflamed, bacteria mainly multiply in the nasopharynx.
• Roseola characterized by transience and similarity of symptoms with many other pathologies. The disease appears suddenly and disappears just as quickly. The child’s body temperature often rises to 40°C and persists for 3 days. The patient loses his appetite, becomes irritable, and quickly gets tired.

Treatment is aimed at relieving symptoms, lowering the temperature, relieving itching and preventing injury to the elements of the rash. Chickenpox and measles are treated with brilliant green to dry the wounds and prevent the spread of infection.

Photodermatosis

Or photodermatitis is an increased sensitivity to sunlight; children under 3 years of age are at risk.

The disease is characterized by the following manifestations:

• itchy rashes on exposed skin;
• peeling of the skin (chronic form of the disease);
• redness of the affected area;
• rashes in the form of nodules, blisters;
• pigmentation after prolonged exposure to ultraviolet radiation.

Symptoms also appear, together with the signs described above, that are characteristic exclusively of photodermatitis:

• lowering blood pressure;
• heat;
• sneezing and runny nose;
• suffocation;
• lacrimation;
• swelling of the mucous membranes.

If, after being in the sun, the body becomes covered with pink spots with blisters, the child should be taken indoors, the skin should be rinsed with clean water and an antihistamine should be given.

The best prevention is to protect the child from ultraviolet radiation, not just from direct sunlight. Even in the shade, he should wear a hat, long sleeves, mainly made of natural fabrics. For treatment, antiseptic drugs, zinc-based ointments, antihistamines, and anti-inflammatory creams are prescribed.

Dermatitis

Dermatitis is considered to be a group of inflammatory reactions of the skin that develop due to exposure to external or internal irritants. Causes of appearance in childhood: frequent infectious diseases, genetic predisposition, dysbiosis, use of certain medications.

There are several main types of dermatitis:

• atopic;
• contact;
• seborrheic;
• diaper

Each pathological process is accompanied by characteristic redness of the skin, peeling, and abrasions. Vesicles, pimples, and blisters appear on the face, groin, buttocks, and genitals. Complications manifest themselves in the form of swelling, itching, pain in the affected areas of the skin, pustules form, the skin on the face around the mouth, hands and elbows becomes very dry.

Blood and vascular pathologies

Vascular red spots on a child’s body, according to the photo with description, can be of different sizes and colors. Rashes in these diseases are provoked by hemorrhages in the skin and spread throughout the body, otherwise they are called hemorrhagic.

Causes:

• disruption of the functioning of platelets involved in the process of blood clotting;
• poor vascular permeability.

Typically, vascular spots appear in a child immediately after birth or are diagnosed in the first days of life. The peculiarity of this rash is that it is not palpable, does not disappear when pressed, and does not turn pale. The color of the formations can be very different, from red and blue to dirty gray. It disappears completely after 3 weeks.

Allergy

Red spots in a child from food allergies most often appear around the mouth and on the cheeks. This protective reaction of the body is provoked by certain medications.

The distinctive signs of allergies from other pathological processes are the good general condition of the child. As a rule, the patient is only concerned about itching, there is no high temperature, appetite does not disappear, and drowsiness is not observed.

Often there is lacrimation, a profuse runny nose, and the rashes are clearly visible, prominent, and bright. In addition to skin reactions, rhinitis and conjunctivitis develop. Antiallergic drugs and medications that soothe itching help eliminate symptoms.

Nuts, fish, citrus fruits, chocolate, mayonnaise, mushrooms, milk, pastry and other allergens are excluded from the diet. It is recommended to consume butter, sunflower, olive oil, fresh cucumbers, white bread, dairy products, and beef.

In what cases is a visit to the doctor required?

You should seek help if the rash does not go away within 7-10 days, and the child has a persistent high fever. Decreased appetite and causeless irritability should attract the attention of parents and specialists. A dermatologist will help when the rash is accompanied by bleeding, burning and tingling.

It is necessary to urgently call an ambulance when black formations begin to appear along with red spots. A medical examination is also required when the whole family falls ill at once, the patient complains of chest pain, or anaphylactic shock occurs (loss of consciousness, difficulty breathing).

What can you apply to stains and in what cases?

Systemic therapy is carried out using antihistamines in the form of tablets, syrups, ointments for external use, and gels.

Allergic spots are eliminated using the following drugs:

• Fenistil;

• Gestan;
• cream for sensitive skin "La-Cri".

They have an anti-inflammatory, healing and soothing effect. If you are allergic to cold, you should lubricate your skin with olive oil before each time you go outside. Red spots, without fear of side effects, can be treated with Depanthenol, Bepanten, Panthenol, or regular baby cream with chamomile. These products promote rapid healing of wounds and cracks.

Zinc ointment helps well with chickenpox, eczema, diaper rash, bedsores, and dermatitis. This is one of the most accessible means for use in dermatological pathologies. The active ingredients accelerate the healing process and reduce the symptoms.

Traditional methods of treatment

Traditional medicine is used as an auxiliary method to relieve symptoms and diseases accompanied by rashes.

The following recipes will help you cope with allergies:

• eating honeycomb (in the absence of an allergy to the product);
• crushed eggshells to a powder, mix with lemon juice, take ½ tsp. per day until symptoms relieve;
• Activated carbon 1-2 tablets per day will help relieve intoxication of the body;
• Applying boiled cabbage leaves for 2 hours will relieve itching;
• a bath with wormwood oil has an excellent healing effect;
• red spots disappear faster if they are treated with sea buckthorn oil.

A decoction of chamomile will help restore the healthy appearance of your skin - 1 teaspoon of dry herb per glass of water. Boil, pour into molds and freeze; if you have allergies, wipe your skin with ice cubes - this will relieve irritation.

Pansies and wild rosemary herb are mixed in equal proportions - 2 tbsp. spoons, pour 1 liter. boiling water The broth is infused for 45-50 minutes, after which it is poured into the bathtub for bathing. Therapy is carried out until the rash completely disappears every day for 10 minutes.

Red spots on a child’s body (as can be seen from photographs of symptoms of various diseases) may indicate various malfunctions in the body or the presence of pathology.

It is impossible to protect children from everything: sunlight, wind, animals, infections, allergens and insects. It is important to strengthen the immune system, strengthen the baby, rationalize nutrition and, as prescribed by a doctor, give multivitamins as a preventive measure to improve health.

Video about red spots in a child

All about baby rash:

Allergic dermatitis in a child:

Every parent will be frightened by red spots on the child’s body, especially those that are accompanied by high fever, itching and other symptoms. The most likely causes are an allergy or skin reaction to pest bites. However, there are a number of other factors that can provoke the disease. You need to know what the rash looks like in various pathologies and how to help your baby.

Classification of spots and probable causes of their appearance

Experts divide the morphological signs of the rash into primary and secondary. This measure allows you to quickly establish an accurate diagnosis and select an effective treatment regimen. Types of skin rashes related to primary symptoms:

1. Specks. As a rule, these are small round redness on the dermis, not different in structure from healthy areas. They may not be accompanied by itching, but more often they itch and flake.
2. Blisters. Rashes on the back and other parts of the body with swelling, hollow inside. They cause discomfort to the child, but after healing they do not leave scars.
3. Bubbles. Small elastic formations that appear on different parts of the body. Features of blisters on the skin are the presence of liquid inside, itching and burning.
4. Pustules (pustules). They resemble blisters in appearance, but are filled with pus inside. If you open the pustule, then after recovery there will be a noticeable mark.
5. Papules. Hard or soft inflammations on the skin of the body, sometimes merge into larger plaques. Children often scratch them and cause infection.
6. Tubercles. A dense and rather large formation in the deep layers of the dermis (reminiscent of a subcutaneous pimple), characterized by different shades and pain when pressed. It is impossible to squeeze out or open; touching causes severe discomfort.

Often, some time after the appearance of red spots on the body, secondary symptoms appear. This usually takes from several hours to 2-4 days. These include the formation of crusts, cracks, bloody ulcers, erosions and scales on the surface of the skin.

The most likely causes of rash development in newborns and older children:

• allergies caused by food, household chemicals, pollen, dust, animal hair;
• insect bites and the body's reaction to their poison;
• infectious pathologies, which include the herpes virus, measles, scarlet fever, rubella;
• skin diseases - these are different types of lichen, dermatitis on the face of a baby, and more.

There are many reasons for the rash to spread throughout the body or on individual parts. You need to pay attention to the place where red spots appear on the body. For example, an allergic rash in children to powder is most often localized on the back, arms or legs, and to food - on the face, chest and back. Infectious rashes cover large areas, sometimes even visible red dots in the throat.

Allergic reaction

A negative reaction to any stimulus often worries infants. The introduction of complementary foods, breast milk, washing powder, cold or heat - all this can cause red spots on the body of a baby. It is divided into several types: reaction to food, dermatitis, urticaria, toxicerma and photodermatosis.

Food allergies

Food allergies occur much more often than others. Most products in the store contain hazardous substances (dyes, flavors). They are harmful even for adults, not to mention the fragile children’s body. Allergic skin rashes can also occur in infants if the mother does not follow a special diet. Experts recommend eating right and switching to artificial feeding as soon as possible.

Highly allergenic foods include eggs, chocolate, honey, tangerines, oranges and lemons, mushrooms, strawberries, and currants. However, in one child such food is well absorbed, while in another it easily provokes diathesis on the face. The presence of chronic and viral diseases, as well as intestinal dysbiosis and weak immunity can contribute to this.

Dermatitis

The disease is classified as a dermatological allergy, in which the child is bothered by flaky spots on the body, pain and itching. If the disease starts, the allergy on the hands in the form of red spots turns into large blisters that spread to the whole body. Over time, they increase in size, burst, leaving behind weeping ulcers and suppuration.

Hives

Another type of dermatological allergy, but has different symptoms. With this disease, small red blisters with a clear outline appear on the body. You may notice that the spots rise several millimeters above healthy skin.

Urticaria has the ability to become chronic and occur periodically throughout life, so it is important to treat it. In addition, the chronic type often accompanies people with gastrointestinal diseases and leukemia.

Photodermatosis

One of the rarest types of allergic reaction that occurs to sunlight. According to experts, children under three years of age suffer from the disease. Factors that cause red raised spots on the body include:

• viral infections;
• heredity to allergies;
• presence of chronic diseases;
• long-term use of antibiotics.

The allergy appears on the body in the form of pinkish plaques some time after exposure to the sun. In addition, the child suffers from watery eyes, swelling of the face or other exposed areas of the body.

Toxidermy or toxicoderma

The most severe type of allergy throughout the body in a child, causing inflammatory processes on the skin and mucous membranes. Toxidermy includes several types, but most often it is food and drug. Symptoms directly depend on the severity and duration of contact with the irritant.

Usually, severe itching and red spots on the body first appear, then papules form on the itchy areas. There are signs of general intoxication of the body: high fever and rash, nausea or vomiting, weakness, chills. In severe cases, angioedema develops, which can be fatal.

Insect bites

Almost always, bites of various insects (wasps, mosquitoes, fleas, ticks) are accompanied by spots. In the first minutes or hours after contact with the pest, the blisters on the child’s body itch and hurt, but gradually all unpleasant symptoms disappear. The difference from allergies is isolated redness on the skin only in those places where the insect has bitten.

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If you know for sure that your child was bitten by a mosquito or a bee, then there is no need to see a doctor. As a rule, all unpleasant symptoms will disappear within 24 hours; you can lubricate the red round spot on the body with bite ointment. If you develop signs of an allergic reaction (inflammation, difficulty breathing, swelling of the larynx or face), you should immediately seek medical help.

Infectious pathologies

Many diseases can cause red pimples and blemishes on the body. The most common are chickenpox, measles and rubella. However, the development of more rare diseases is possible, so if you notice a rash on the skin in the form of blisters, you should definitely consult a doctor.

Chicken pox

A childhood disease with skin rashes, most of the population experiences chickenpox in preschool age. The body of the sick person becomes covered with red spots, which then turn into blisters. The baby is worried about fever, weakness, nausea and itching. Often the symptoms are accompanied by redness of the throat and disturbances in the gastrointestinal tract. The disease begins with a rash on the cheeks, between the fingers and armpits, then spreads to the whole body.

Measles

The viral rash is transmitted by contact with an infected person and remains dangerous for up to 5 days. Some time after infection, signs of a cold appear (fever, runny nose, cough, lacrimation), but soon large red spots form on the body. They are characterized by an irregular shape, are localized on almost all parts of the body at once, peel off and acquire a brownish tint.

Scarlet fever

Red, rough spots on a child’s skin and a sore throat indicate the onset of scarlet fever. You can become infected through airborne droplets or through household contact. Epidemics often occur in kindergartens, as the disease is transmitted through toys, dishes, and clothing. If one child becomes ill, it is recommended to strictly observe precautions and isolate other children. Many mothers are interested in: is it possible to bathe a child with scarlet fever? In the first 5-7 days you should refrain from taking a bath; it is better to use wet wipes.

Rubella

With rubella, red pimples on the child’s body do not appear immediately, but only a week after other signs appear. A mild sore throat, lacrimation and conjunctivitis signal the onset of the disease.

Usually body temperature remains within normal limits or rises to 37 degrees. Like all infectious diseases, rubella spreads quickly, so isolation is necessary. Childhood illnesses are very similar, so it doesn't hurt to familiarize yourself with the signs. It is through them that you can notice the disease in time and consult a doctor.

Roseola

Rashes on the skin in the form of red spots, characterized by an obligatory increase in temperature. It gradually decreases (high levels can remain up to 4 days), but the body continues to be covered with plaques. The disease is caused by type 6 herpes virus, which requires mandatory therapy.

Skin pathologies

The two most common skin diseases affecting babies are viral dermatosis and purulent lesions of the dermis. The first disease is diagnosed in children 4-8 years old; the cause of development is considered to be intracellular viruses. Are formed red plaques on the body, the child complains of weakness. The second disease comes in different types: pyoderma, lichen sicca, diaper dermatitis. Almost every one of them begins with slight redness of the skin, which is followed by small red pimples with pus.

When to see a doctor

Having noticed a red rash on a child’s body, there is no need to rush to go to the hospital on your own. If you suspect an infectious disease, you must call a doctor at home so as not to infect others in public places. You should urgently call an ambulance if you experience the following symptoms:

• impaired breathing, wheezing, chest pain;
• fainting, difficulty speaking, or confusion;
• the appearance of watery pimples on the body, which bring severe discomfort to the child;
• a sharp increase in temperature, as well as the ineffectiveness of antipyretic drugs;
• anaphylactic shock, in which blood pressure drops, breathing becomes difficult, and signs of a severe allergic reaction appear.

Before a specialist arrives, you should not treat red spots on your child’s body with anything, be it a soothing cream, brilliant green or iodine. Such measures will blur the clinical picture, which means the doctor will not be able to make the correct diagnosis and tell how to treat the disease.

Treatment methods

Therapy depends on the cause of the red rash in the child. You should definitely visit a pediatrician, and if you suspect skin pathologies, a dermatologist. Do not squeeze, open or comb small ones. This makes it easy to get infected, and the wounds will leave unsightly marks. Children should not be given medications without a doctor’s prescription; it is only permissible to use antiallergic drugs.

Fenistil, Tavegil, Claritin, as well as Gistan ointment are used against allergies in the form of red, rough spots on the body of infants. In advanced cases, you should choose hormonal drugs: Elokom or Advantan.

A red rash on a child’s face after frost can be eliminated with La-Cri cream, which soothes and heals the affected epidermis. Creams such as Depanthenol, Bepanten and Panthenol have an anti-inflammatory and restorative effect. It is recommended to lubricate the small red rash on the dermis during chickenpox with brilliant green and zinc ointment. In all other cases, consultation with a doctor and his supervision during treatment with medications are necessary.

Precautionary measures

To protect your child from infectious diseases and other ailments, it is necessary to strengthen the immune system. The body’s protective function can overcome many diseases; to maintain it, it is recommended to regularly give the child vitamin complexes.

It is important to protect your baby from factors that provoke red dots on the skin: junk food, dangerous insects, crowds of people where you can get a serious infection.

Skin rashes in children are not uncommon, but you can’t turn a blind eye to red dots. There are many reasons for the development of small pimples on the body: from a mosquito bite to an infectious pathology. You should definitely make an appointment with a doctor or call him at home if you suspect an airborne disease. You cannot choose a treatment regimen on your own; many diseases have serious consequences, so therapy should be carried out under the supervision of a specialist.

You can ask your question to our author:

Redness is a possible symptom of many diseases, both harmless and requiring treatment.

If you suspect a serious illness, consultation with a doctor is necessary. How to understand why spots appeared on a child’s skin?

The most common causes of redness in young children are the body’s natural reaction to hot weather on delicate skin. Miliaria forms on the folds, neck, back, chest, armpits due to difficulty sweating.

The surface layer of the skin swells slightly and small red blisters appear. Miliaria usually does not cause itching or discomfort and disappears quickly with proper care.

Diaper rash may appear as red, swollen, tender patches or flaking. The skin in the area of ​​diaper rash becomes moist.

Both prickly heat and diaper rash can occur due to poor child hygiene, synthetic clothing, especially if parents dress the baby too warmly, or the use of greasy skin creams in the summer.

As for hygiene, delicate baby skin becomes irritated due to being in a diaper for a long time, especially with feces or urine.

Acne

In newborns, very often in the first months of life, acne may appear on the face, neck, and sometimes head. It occurs due to the beginning of the functioning of the skin glands and does not require special treatment. By six months, acne goes away without leaving any traces. Hygiene is important for its speedy disappearance.

These are the most common causes of spots in newborns. In addition, there may be cases of an allergic reaction that appears after contact with the allergen and goes away after its removal, and single insect bites. Another cause of a rash can be infectious diseases. In this case, parents need to be very careful and rush to the hospital at the slightest suspicion.

Chickenpox

Chickenpox, which affects children under 15 years of age, is spread through the air or through contact with someone who is sick. First, the child feels unwell and has an increase in temperature, which after one or two days is accompanied by a rash - a pink spot.

Then it turns into itchy blisters. Do not allow the skin to be scratched, as if the blisters are injured, it can cause infection or leave scars. At the same time, a spot on the skin, blisters, and crusts may appear on them. The spots on the child’s body may remain for about a week after recovery.

Measles

90% of unvaccinated people will get sick if they come into contact with an infected person. The disease is considered highly contagious. First, a runny nose appears, the eyes begin to water, and the child may cough. After a couple of days, redness appears: it starts from the behind-the-ear area and face, spreads to the body, and the child develops red spots on the arms and legs.

At the moment of redness, the temperature may begin to rise again if it was brought down before. When the rashes reach the legs, they begin to turn pale on the face. This is a distinctive feature of measles: on the first day it appears on the face, on the second day there are spots on the child’s stomach, on the third day on the limbs.

The rash may be a little itchy. After treatment, traces of brown color or peeling may remain; after about a week to a week and a half, they disappear.

Rubella

A fairly common disease among children aged 5 to 15 years. It is accompanied by a sore throat, as well as headaches, increased tearfulness of the eyes and fever. Before the active phase of the disease, the temperature rises very slightly, the lymph nodes in the neck increase in size, this period is usually not noticed by parents.

Then pink rashes appear on the face and down the body, usually after three days they disappear on their own, and may be slightly itchy. Sometimes rubella goes away without any rash at all, then it can easily be confused with a cold.

However, for pregnant women, this disease can be very dangerous, since if infected in the first trimester of pregnancy, there is a possibility of abnormal development of the fetus.

Scarlet fever

The distinctive symptoms of the disease are a severe sore throat (as during a sore throat) and a rise in temperature, after which a small rash appears three days later. It does not affect the nasolabial triangle.

Her favorite places are the folds, armpits, groin, and crooks of the limbs. Within a week, the rashes disappear, leaving areas with peeling. Another additional symptom is the color of the tongue - crimson with noticeable papillae.

Erythema

In the case of erythema, the rash begins from the face. It turns red, as if the child had been slapped, then it begins to spread throughout the body, the rashes merge into a red spot on the child’s skin, then the spots turn white inside. Sometimes they have a blue tint. The feet and hands usually remain without redness.

And a couple of days before this, the child may feel unwell, have a fever, and may develop a slight cough. After a few weeks, the rash goes away. It is worth noting that during the period of the rash the child is no longer contagious, it is an immune reaction.

Roseola

Herpes, in addition to many other troubles, causes roseola, which at first looks like a fever or cold with an increase in temperature. After 3-4 days, the symptoms are replaced by pink spots of different sizes; they may rise slightly above the surface of the skin.

It does not cause pain and does not itch. The temperature drop is sharp. After 4-5 days the rash goes away.

Most often, very young children under two years of age suffer from roseola; they can be infected by their parents or other adults. The disease may not be recognized by the doctor, since during the period when teeth are being cut, an increase in temperature is often explained by this. But if it exceeds 38 degrees, it is unlikely that the cause is teeth.

Molluscum contagiosum

Red dense nodules with a diameter of up to 5 mm appear on the body. It all starts with one such nodule, then more and more of them appear. The weaker the immune system, the more nodules will appear.

If you squeeze out a nodule, a substance similar to cottage cheese in consistency will appear (it is not recommended to press or squeeze out nodules). They usually go away on their own, even without treatment.

However, they do not cause itching or pain, but for parents such diseases are a reason to strengthen the baby’s immunity.

Meningococcal infection

Meningococcus can be in the human body without any consequences, without causing illness, but under certain conditions (for example, additional viruses or a decrease in living standards) it can cause meningitis and sepsis.

Sepsis develops very rapidly, so meningococcal infection is treated in the hospital with antibiotics.

With sepsis, a petechial rash appears on gray skin. It looks like small bruises that have a star-shaped structure and grow. The symptom appears on the legs, arms, and torso. During meningitis, nothing appears on the skin.

Hives

Urticaria, on the contrary, causes a lot of discomfort to the child and parents.

The blisters that form with it are very itchy, the child cannot sleep and is even uncomfortable playing. The baby is restless and may refuse to eat.

Hives can appear suddenly and disappear just as quickly. Its causes vary, from an allergic reaction to food or tissue to infection.

Pityriasis rosea

When the fungus that causes lichen occurs, red spots appear on the child’s body; a photo of them will help you easily distinguish them from other rashes. They usually form where there is sweating. These spots itch and flake, they are dry.

Additional symptoms may include fever and swollen lymph nodes. Children become infected with lichen from dogs and cats.

Since there are several types of lichen, you should consult a doctor to determine what to do in a particular case. An accurate diagnosis is made after analysis - scraping from the affected area of ​​skin.

When to see a doctor

Since the rash is often caused by infectious diseases, parents usually call a doctor at home to avoid infecting other people. We need to measure the temperature. If it is elevated, this is a sure sign of an infectious disease. Monitor the child’s condition and the appearance of additional symptoms.

If there is no temperature, the cause may be insufficient hygiene. Mothers should pay attention to what products they use to wash their baby and whether they wash them often enough.

Before the examination, you should not smear the rash with any substances that can stain the skin and complicate the diagnosis.

In particularly difficult cases, you need to call an ambulance. If you see the following symptoms:

• it is difficult for the child to breathe normally;
• the baby loses consciousness or is confused;
• there are signs of anaphylactic shock, a severe allergic reaction (sharp drop in blood pressure, breathing problems, fainting);
• a significant increase in temperature, which is not interrupted by anything;
• chest pain in a child.

What not to do if you have a rash

Rashes are stressful for a child’s skin, so the following actions should be avoided so as not to worsen the condition even further:

• Do not apply ointments and creams to your skin without first consulting your doctor, especially if they may change the color of the rash.
• Do not self-medicate or give your child medications without a doctor's prescription. The exception is an allergic reaction if you have used the medicine before and know how the body will react to it.
• Whenever possible, minimize scratching and avoid squeezing, especially in case of infection.

Folk remedies for rashes

Traditional recipes will help irritated skin with red spots, swelling, itching.

Dill is a good remedy if the skin is very itchy. Its juice is moistened with the child’s skin three times a day.

To relieve the redness of rashes, use an infusion of birch buds. They are poured with boiling water (1 tablespoon of birch buds per glass of water) and left for half an hour. Then gauze or other clean soft cloth is soaked in the infusion and applied to the child’s affected skin.

Also, to reduce rashes, mix celandine and yarrow, herbs with strong anti-inflammatory properties. Pour two tablespoons of herbs (one spoon of each) into a glass of water and leave for several hours. Afterwards, filter the pulp and apply it to the skin. To achieve an effect, such procedures should last about 20 minutes several times a day.