My daughter developed a circular shaped rash on her upper arm, the outer part of the rash was somewhat dark and the inside of the rash started reddish but then turned very light. She had only this one for about 3 months, then they started appearing on her arms, legs, and back. She also started getting a rash that wasn't circular on her limbs and trunk, in addition to her face. All of the rashes got worse with sun exposure. A few months after this, she started losing her hair in two spots. Right along her hairline and a circular patch right on top of her head. The rashes did not hurt or itch.The circular rashes lost their pigmentation.
She has now had these symptoms for one year. Recently the circular spots became hyperpigmentated and some are itchy. I do put a 70spf sunscreen on her when she is outside.
She is seeing a dermatologist and has used eladol, westcort cream, and atarax syrup. We haven't used the eladol or atarax for about 4 months. We also cover her with aquaphor ointment twice a day. Her hair has grown back and the Dr. believes the rashes and hair loss are two spearate issues.
She is overall very healthy child with no history of eczema or any other rashes. There was one incident, about 1.5 years before the rash appeared, and she was diagnosed with HSP. She had several bug bites, and I thought that may be what caused the vasculitis. They gave her a shot of cortisone and she recovered quickly.
She tested negative for allergies on the skin patch test.
She has had blood work done, everything was negative, including ANA
I have an autoimmune disease (crohns disease) and she has a 1/2 brother who has eczema
I'm not sure where to go from here, I appreciate any thoughts and ideas you may have.
Thank you so much for your time! Kesichjo