Unexplained Red Rashes: Causes and Concerns - Dermatology

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Unexplained rash


Hello, Doctor! After taking a shower one time, I noticed that there were red spots about the size of my palm on the inner thighs near my knees, and there were also slight red rashes on the bend of my right wrist.
However, a few hours later, they disappeared (I'm not sure how long it took to go away).
What could this issue be? Could it simply be food poisoning? (Because someone at the same table experienced discomfort after eating that day.) Or could it be due to the hot water being too hot? This only happened once, and it hasn't occurred again since! I would greatly appreciate your response.
Thank you!

Xiao Dai, 20~29 year old female. Ask Date: 2004/03/02

Dr. Huang Ruiyun reply Dermatology


Online diagnosis is not possible.
If the lesion has disappeared, there's no need to worry about it.

Reply Date: 2004/03/02

More Info


Hello! Thank you for your question regarding the unexplained red rashes you've experienced. Based on your description, it sounds like you had transient red rashes on your thighs and near your right hand joint that disappeared after a few hours. There are several potential explanations for this phenomenon, and I will outline some of the most common causes.

1. Allergic Reaction: One possibility is that you experienced a mild allergic reaction to something you came into contact with, such as soap, lotion, or even the water itself if it was particularly hot. Allergic reactions can manifest as hives or rashes that appear suddenly and can resolve quickly, especially if the trigger is removed.

2. Heat Rash: Given that you mentioned the rashes appeared after a hot shower, it's also possible that you experienced a heat rash (miliaria). This condition occurs when sweat ducts become blocked and sweat is trapped under the skin, leading to small red bumps or blisters. Heat rash is common in hot, humid conditions and can resolve quickly once the skin cools down.

3. Dermatographic Urticaria: This is a condition where the skin reacts to pressure or scratching, resulting in raised, red welts. If you were scrubbing your skin vigorously during your shower, this could have triggered such a response.

4. Infection: While less likely given the transient nature of your symptoms, certain infections can cause rashes that appear and disappear. However, these are usually accompanied by other symptoms such as fever or pain.

5. Food Reaction: You mentioned that someone at your table experienced discomfort after eating. If you consumed something that you are sensitive to, it could potentially lead to a localized skin reaction. However, this would typically be accompanied by other symptoms like gastrointestinal distress.

6. Environmental Factors: Sometimes, environmental factors such as exposure to certain plants, chemicals, or even insect bites can cause localized rashes. If you were in an area where you might have brushed against plants or other irritants, this could be a factor.

In conclusion, while the transient nature of your rash is reassuring, it is essential to monitor for any recurrence or the development of additional symptoms. If the rash reappears, lasts longer, or is accompanied by other symptoms such as itching, swelling, or systemic signs (like fever), it would be advisable to consult a healthcare professional for a thorough evaluation. They may recommend allergy testing or other diagnostic measures to determine the underlying cause.

In the meantime, consider keeping a diary of any potential triggers, including foods, activities, and environmental exposures, to help identify patterns that might be contributing to your skin reactions. If you have any further questions or concerns, please feel free to ask!

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