skin question

[concernedmamaoftwins]

Hi,  I have a three year old daughter who is developing strange welt like things on her trunk, face and legs.  The welts are not circles but many different shapes all bigger than a silver dollar.  The circles have a darker red outline with a light pink center.  They do not appear to be bug bites.  Nor does it look like ring worm.  The spots continue to pop up and she currectly has 7 spots.  She says they do not hurt or itch but we are still worried.  Any help you can offer with this would be great!
Thank you.

[Bhupinder Kaur, MD]

Hello,
Without examination,confirmation of a diagnosis is tough but it can be pityriasis rosea or nummular dermatitis.

Pityriasis rosea is a common human skin disease which presents as numerous patches of pink or red oval rash. The rash may be accompanied by low-grade headache, fever, nausea and fatigue and sometimes by itching.

No treatment is usually required. In most patients, the condition lasts only a matter of weeks or months(upto six months).Application of steroid cream may help.

If the rash persists then it will be best to get it evaluated from a dermatologist.Other possibilities have to be ruled out then.

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional doubts.Kind regards.

[concernedmamaoftwins]

Just wanted to give you an update.  We took our daughter to the pediatrician today and she infact has Lyme disease.  We are so surprised by the diagnosis but happy it was caught.  
Thank you for reply.  I really appreciate all your help.