Reddish spot over palm face and back with itching and pain no fever no burrning
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CDC rash emergency signs painful itchy rash face palms adults
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pruritic rash differential diagnosis
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A new itchy and painful red rash on the palms, face, and back should be assessed today by a clinician or dermatologist, even without fever. Possible causes include an allergic/contact reaction, scabies, a medication reaction, viral rash, or other skin inflammation. Pain and involvement of the face and palms make it hard to diagnose safely without seeing it.
Seek urgent care now if any of these occur:
- Blisters, peeling, open/raw skin, purple spots, or rapid spread
- Rash in the mouth, eyes, lips, or genital area
- Swelling of the face/lips, breathing or swallowing difficulty
- Pus, crusting, warmth, marked swelling, or worsening pain
- Fever, feeling very unwell, or a new medicine in the past few weeks
These are warning signs cited by the American Academy of Dermatology.
Until you are checked:
- Do not use new creams, cosmetics, soaps, or herbal products.
- Use a cool compress and plain fragrance-free moisturizer.
- Avoid scratching and keep nails short.
- Do not share towels, bedding, or close skin contact if others in the household are also itchy, especially if itching is worse at night. Scabies can cause intense itch and rash and may require treatment of close contacts.
- Do not apply steroid or antibiotic combination creams to the face unless prescribed.
If you can, send a clear photo and tell me: when it started, whether there are blisters or small bumps, whether anyone close to you is itchy, and any new medication, food, soap, cosmetic, or recent exposure.
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