08/03/2014 at 15:19
Hi, we have a two month old who is developing a rash over his whole body.
He was born in europe (and we are european), but we had to move to the tropics when he was one month old (i.e. he was used to winter temperatures there, and we had to move to summer temperatures here). He then developed a heat rash over his face, back and chest. That subsided for the most part, leaving some little spots but no red patches. Everything was ok for a few weeks.
Then, last weekend he started getting little bumps in patches on his bottom. We started treating it by giving him a lot of nappy off time, and it got better at first but then worsened to be red patches which weep on both of his buttocks, and a little bit up his back. This happened over 2-3 days, in which we kept him as cool and dry as possible.
He also has very sore looking redness which weeps behind his knees. But what worries me most is that he is developing red spots on his arms too, and around his genital area. Basically you can find little red spots nearly everywhere.
We have tried using metanium as a barrier on his bottom and used savlon on the rashes but neither have helped. We took him to a dermatologist and he has given us a steroid cream (mometasone furoate 0.1%) for the bad areas, and moisturizer which we should put everywhere after a bath. But so far it hasn't improved. We have also tried cornstarch.
The dermatologist told us it was a reaction to something, most likely the heat. But we have no way of keeping him any cooler than we are (we can keep our flat in the mid to high 20s C).
My question is, does anyone have any advice of how to deal with such a rash in a very hot climate? Should I put the steroid cream on anywhere that there are red spots (that would be a lot of steroid)? Also, online people recommend using a thick layer of steroid cream (with our cream specifically), but I am very sceptical as this is quite a strong cream and the advice says spread thinly.
Many thanks for any advice you can give, we are very worried about our little boy.
p.s. We give him a daily bath (using appropriate soaps), and his clothes are washed in baby safe detergent. He is breastfed.
08/03/2014 at 17:31
Have u tried you oilatum bath oil? (You can get a junior version for babies)... lots of people rave about that & its worth a try if you are concerned about over use of steroid cream (although Im sure the doc wouldnt give you this if it wasnt safe to use).
maybe also try baby powdering in the creases to soak up any moisture /sweat which may irritate the rash.
im sure you already know this... But if you're not... Try keeping him in loose fitting 100% cotton clothes as much as possible so the skin can breathe.
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