Post-Fever Facial Redness and Rashes: Causes and Care - Dermatology

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After a fever, a red rash (similar to sunburn) may occur?


Hello doctor, I had a fever two days ago, during which I experienced eye pain and facial redness with a feeling of warmth.
The fever has subsided after two days, and the eye issue has improved significantly, but the facial redness and warmth persist, resembling sunburn with smooth, non-raised red patches, and the temperature of my face is noticeably higher.
I also have a few rashes on my arms.
What disease could this be? Is it possible for it to resolve on its own? I have been undergoing treatment for sinusitis and have already taken a considerable amount of antibiotics and medications, so if it's not necessary, I would prefer not to take any additional medications.

Ni, 30~39 year old female. Ask Date: 2019/03/09

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is not possible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.

Reply Date: 2019/03/09

More Info


Hello! Thank you for your question regarding the post-fever facial redness and rashes you are experiencing. It sounds like you have gone through a challenging time with your recent fever and associated symptoms. Let's break down your situation and explore potential causes and care options.

Firstly, the facial redness and warmth you are experiencing after a fever can be attributed to several factors. When the body fights off an infection, it often triggers an inflammatory response, which can lead to increased blood flow to the skin, resulting in redness and warmth. This is a normal physiological response as your body recovers from the illness.

The fact that you experienced eye pain during your fever could indicate that the fever was associated with a viral or bacterial infection, such as sinusitis, which you mentioned you are currently being treated for. Infections can lead to inflammation not only in the affected areas but also systemically, causing skin changes like rashes or redness.

The smooth, non-raised red patches on your face that resemble sunburn could be a form of post-inflammatory erythema, which occurs after inflammation subsides. This can happen after a fever or any inflammatory condition, and it usually resolves on its own over time. However, it can take several days to weeks for the skin to return to its normal color.

As for the small rashes on your arms, these could be a result of several factors, including:
1. Viral Exanthems: Many viral infections can cause rashes, which may appear during or after the fever phase. These rashes can vary in appearance and may resolve as the infection clears.

2. Drug Reactions: Since you mentioned taking antibiotics and other medications for your sinusitis, it’s possible that the rashes could be a reaction to one of these medications. Drug rashes can manifest in various ways, including redness and small bumps.

3. Allergic Reactions: If you have been exposed to new products, foods, or environmental factors, an allergic reaction could also cause skin changes.

In terms of self-care, here are some recommendations:
- Hydration: Ensure you are drinking plenty of fluids to help your body recover and maintain skin hydration.

- Gentle Skin Care: Use mild, fragrance-free cleansers and moisturizers to avoid further irritation to your skin. Avoid harsh scrubs or exfoliants.

- Cool Compresses: Applying a cool, damp cloth to the affected areas can help soothe the skin and reduce redness.

- Avoid Sun Exposure: Protect your skin from sun exposure, as this can exacerbate redness and irritation.

- Monitor Symptoms: Keep an eye on your symptoms. If the redness worsens, spreads, or if you develop additional symptoms such as fever, swelling, or pain, it would be wise to consult a healthcare professional.

Regarding your concern about taking additional medications, it’s understandable to want to minimize your medication intake, especially after a course of antibiotics. If your symptoms do not improve or if they worsen, it would be advisable to seek medical attention. A healthcare provider can assess your condition and determine if further treatment is necessary, which may include topical treatments for the rash or adjustments to your current medications.

In conclusion, while your symptoms may resolve on their own, monitoring your condition and practicing gentle skin care can aid in your recovery. If you have any doubts or if your symptoms change, do not hesitate to reach out to a healthcare professional for personalized advice. Wishing you a speedy recovery!

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