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Why do rashes with rough spots occur under the armpits?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My daughter is 5 years old. A few weeks ago, rashes started appearing under her armpits. It is like one bigger wound with rough dots. It is not getting any better and is spreading now. There are also some dots on the tummy, but it is primarily present under the armpits. It is the first time she has had a rash. It is winter in our region, and we always wear a lot of clothes. Is this condition related to that, or is it atopic eczema, fungus, stress, or allergies? She had regular flu and winter diseases during the last weeks; otherwise, she is fine. Among her friends, many had corona, but still, now she has not gotten corona.

Answered by Dr. Pathave Hari Shivaram

Education:

MD

Professional Bio:

Dr. Pathave Hari Shivaram is a Dermatologist and Venereologist skilled in diagnosing and treating skin, hair, and nail disorders, as well as sexually transmitted infections (STIs). He is experienced in medical and procedural dermatology, including acne management, eczema, psoriasis, fungal and bacterial skin infections, mole evaluation, and laser treatments. He also provides counseling on skin health, preventive care, and management of chronic dermatological conditions.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. It looks like atopic dermatitis with secondary bacterial infection. I suggest using Mometasone Fusidic acid cream in the morning and afternoon for seven days and Tacrolimus (0.1%) ointment at night for 15 days. Take Tablet Levocetirizine 5 mg half tablet at night for ten days. Follow up after ten days. If any further queries, kindly revert.

Patient's Query

Hi doctor,

Thanks for the reply. That seems like a very accurate diagnosis. It came during a cold period here in our region. I have forwarded your answer to my regular doctor (who is not a dermatologist) and asked if I need to see a specialist. My doctor prescribed Fusidic acid Hydrocortisone acetate cream the other day, and we just started using it. Is that enough, or do you think the tablets are necessary? Do I have to consult a dermatologist in our area? I am worried whether it will get worse, spread internally, and lead to sepsis. I have read somewhere that although not common, systemic bacterial infections and eczema herpeticum can be life-threatening. How serious is this condition exactly? Kindly help.

Answered by Dr. Pathave Hari Shivaram

Education:

MD

Professional Bio:

Dr. Pathave Hari Shivaram is a Dermatologist and Venereologist skilled in diagnosing and treating skin, hair, and nail disorders, as well as sexually transmitted infections (STIs). He is experienced in medical and procedural dermatology, including acne management, eczema, psoriasis, fungal and bacterial skin infections, mole evaluation, and laser treatments. He also provides counseling on skin health, preventive care, and management of chronic dermatological conditions.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

It is a localized lesion, so there is no need to worry about sepsis and other life-threatening infections. I suggest taking the Levocetirizine tablet and the other medications for the above-suggested period and then doing a follow-up. Otherwise, you can also take the opinion of a dermatologist over there.

Medically reviewed by Dr. Sneha Kannan
Published At January 23, 2022
Reviewed At November 7, 2025

Education:

MD

Professional Bio:

Dr. Pathave Hari Shivaram is a Dermatologist and Venereologist skilled in diagnosing and treating skin, hair, and nail disorders, as well as sexually transmitted infections (STIs). He is experienced in medical and procedural dermatology, including acne management, eczema, psoriasis, fungal and bacterial skin infections, mole evaluation, and laser treatments. He also provides counseling on skin health, preventive care, and management of chronic dermatological conditions.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Pathave Hari Shivaram is a Dermatologist and Venereologist skilled in diagnosing and treating skin, hair, and nail disorders, as well as sexually transmitted infections (STIs). He is experienced in medical and procedural dermatology, including acne management, eczema, psoriasis, fungal and bacterial skin infections, mole evaluation, and laser treatments. He also provides counseling on skin health, preventive care, and management of chronic dermatological conditions.

This doctor is not available for online consultations on the platform anymore.

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