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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Rashes

The word rash is a general term that can refer to a variety of skin eruptions. The symptoms or lack thereof, the appearance of the rash, location and duration are useful in arriving at a diagnosis.

Is the rash itchy? Typically rashes associated with eczema (atopic dermatitis) and contact dermatitis are known for being very itchy. A classic example of a contact dermatitis is a rash from poison ivy. If you have ever had a rash from contact with poison ivy you know that itching is a predominant feature. Plants are not the only source of a contact dermatitis. You can get contact dermatitis from metals, particularly nickel, from cosmetics and even from some topical medications such as Neosporin Ointment or Bacitracin. Avoiding continued contact with the offending agent is key. Treatment usually involves use of a topical anti-inflammatory agent such as a steroid cream.

Eczema (atopic dermatitis) is associated with a history of dry, sensitive skin. Often there is a personal or family history of asthma or seasonal allergies. Cleansing your skin gently with a soap free cleanser and moisturizing liberally and regularly are key to preventing eczema flares. When flares of itchy red areas on the skin do occur treatment with a topical steroid appropriate to the location on the body is often needed.

skin rash

Rashes for which itching is not a predominant feature include psoriasis, fungal infections and viral exanthems. Psoriasis presents with red patches with silvery scale typically on elbows and knees. While psoriasis on these locations usually does not itch, psoriasis on the scalp can be itchy. Psoriasis often has a hereditary component. Treatment is based on how much skin is involved and can include use of topical steroids and Vitamin D analogues, light treatments, oral or injectable medications.

Fungal skin infections commonly known as ringworm appear as a ring of scaly red skin. Sometimes little bumps can be present along the edge. Itching is often present but not intense. Sometimes a skin scraping has to be taken to confirm the diagnosis. The problem can usually be treated with a topical antifungal medication.

Viral exanthems are rashes caused by a systemic viral infection. They usually are not itchy. These rashes tend to resolve with time without the need of treatment.

Appearance is another important clue in identifying a rash. A poorly defined area of scaly red skin often suggests eczema (atopic dermatitis), well defined thickened scaly plaques suggest psoriasis, scaly ring-like lesions suggest a fungal infection, pus-filled bumps suggest a bacterial infection, small blisters can indicate a viral infection like fever blisters or shingles; insect bites or contact dermatitis. Of course this is just a sampling of the many ways a rash can present and less common causes also need to be considered.

The location on the body provides a valuable clue. Common sites for a fungal infection are the groin and the feet; psoriasis often affects the elbows, knees and scalp; eczema (atopic dermatitis) commonly involves the inside of the elbow and the area behind the knee in children; fever blisters occur on the lips; rashes brought on by the sun affect sun exposed areas of the skin; seborrheic dermatitis affects hair bearing areas, ears and face.

Duration of the rash is an identifying characteristic. New onset itchy rashes may indicate a contact dermatitis whereas rashes that have come and gone over a period of months or years would more likely denote atopic dermatitis, psoriasis or seborrheic dermatitis.

These general guidelines can provide some clues to the diagnosis but rashes need to be seen and sometimes felt to arrive at an accurate diagnosis. It is recommended that you make an appointment with a trained skin care provider for assessment of your rash since different rashes can have a similar

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SKIN

# of surveys: 3853
Last updated: 2/11/2021 4:23 PM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
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What WE DID WELL

(Answers:674)

THE ATMOSPHERE IS LOVELY AND DR. RINGPFEIL IS VERY THOROUGH AND I HAVE CONFIDENCE IN HER.

#12021-01-24

everyone is wonderful, nice, accommodating, and awesome. Great customer service overall.

#22011-12-21 17:29:36

Friendly treatment from all personal

#32021-01-24

Technologically advanced office made it much easier to register all information as a new patient.

#42020-11-11

I was very impressed by everyone I had contact with on the staff - they were so personable as well as professional which goes a very long way with me! The office itself is also beautiful, I love the artwork and the entire atmosphere!

#52011-12-14 13:47:03

Every aspect was oustanding, most importantly the expertise of the physician.

#62020-04-17

I LOVE the art work!

#72010-12-13 11:51:50

I love the decor of the office.

#82010-11-08 15:17:21

the doctor was very clear about treatment options, answered all questions thoroughly and was easy to relate to...no doctor/patient distancing.

#92020-11-13

Dr Ringpfiel is clearly extremely knowledgable, and dhe took the time to listen completely to me about my condition. I really appreciated the time she took with me, and I am confident she is on the right path for treatment.

#102020-11-18

What can we do better?

(answers:373)

Overall excellent service. Friendly front desk staff. A very small suggestion would be to have someone immediately identify themselves as the person to register a new patient and direct where to go when someone enters the waiting room. With a big waiting room and three people at the front desk, it is a lot to take in and not know to whom to speak. Having had negative experiences with doctors' receptionists where all three of the three people at the front desk have ignored me until I called out and forced a response, I am sensitive to the issue and imagine others have had this experience as well.

#12011-01-31 10:42:48

I would like you to offer evening and/or Saturday hours for both dermatology and esthetician appointments.

#22010-11-04 16:32:44

Talk a little slower

#32011-09-12 11:44:23

I can't think how anything could have been better.

#42020-10-20

It's a little warm in the office.

#52020-07-05

Information for patients to take on latest findings/research in the field

#62020-03-11

sometimes I feel the phone staff is not as helpful as it could be, but that is not reflected in the quality of services. Front office is very professional overall.

#72010-11-04 13:29:14

no recommendations necessary

#82021-02-21

keep up the good work. you have an excellent service and your office is great

#92021-02-12

There is nothing I can even think of! Wonderful Staff!!

#102011-09-09 15:04:20
Customer Rating : 4.5

Based on 178 ratings
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