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RASHY HORROR SHOW

Can you spot the dangerous rashes from the harmless ones?

IN most cases, rashes are common and usually turn out to be harmless.

But a rise in monkeypox cases has meant that many Brits are being hyper-vigilant when it comes to new marks, lesions and blisters.

 Rashes can be caused by different ailments. The graphic above shows what a monkeypox rash looks like (top left). A meningitis rash is likely to be darker (top right) and won't fill with puss. And eczema rashes (bottom left) will often be red and scaly. Rashes that are associated with lymphoma (bottom right) will vary in size and shape
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Rashes can be caused by different ailments. The graphic above shows what a monkeypox rash looks like (top left). A meningitis rash is likely to be darker (top right) and won't fill with puss. And eczema rashes (bottom left) will often be red and scaly. Rashes that are associated with lymphoma (bottom right) will vary in size and shape

In the UK there have been 190 detected infections, and while the risk to the public remains low, experts have urged people to get to know the key signs of the monkeypox rash.

As we head into the summer months and Brits spend more time out and about, our skin can feel the impact.

Dr Walayat Hussain, a spokesman for the British Association of Dermatologists, previously said the skin was a "tricky subject to discuss without alarming people".

"The skin is like the window to the body if you like, so sometimes that can be a sign that something is going on inside the body," he said.

Millions of Brits suffer with common conditions like eczema, psoriasis, and acne.

While being incredibly frustrating to live with, they do not pose a serious risk to health.

However, experts have warned serious rashes with similar symptoms can be disguised.

Read on to find out what your rash symptoms could be really caused by...

1. Fluid filled spots that later become crusty: Monkeypox

Initial signs of monkeypox include a fever, headache and muscle aches.

A monkyepox rash will usually start of the face, before moving across the rest of the body.

A rash will occur within three days after a fever.

Ifti Khan, Well Pharmacy superintendent explained: "There are several stages to monkeypox. The first developing into papules and fluid filled pustules before forming a scab and falling off. Monkeypox lesions appear and develop at the same time."

2. Red or pink spots everywhere: Chickenpox

Just last month parents were warned of a dangerous outbreak of chickenpox and scarlet fever infections - with many families being on high alert.

Experts say that many common infections declined during lockdown but they're now circulating at higher levels, particularly affecting pre-school and nurseries.

Mr Khan said: "Chickenpox and monkeypox are similar in the way they are spread, via close contact and respiratory droplets, as well as direct contact with contaminated objects, but monkeypox is much rarer and spreads less easily."

One of the differences between monkeypox and chickenpox is that people with the latter will usually not experience swollen lymph nodes.

"Chickenpox usually forms in a different way.

"In a chickenpox rash the spots do not develop uniformly and appear at different times," he added.

 Mycosis fungoides appears as a patchy red rash in its early stages
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Mycosis fungoides appears as a patchy red rash in its early stagesCredit: Alamy

3. Red pinpricks with flu-like symptoms: Meningitis

A red pinprick rash under the skin can signal meningitis, a sometimes fatal condition. 

The symptoms of meningitis mimic the flu (high fever, stiff neck, headache and sleepiness), and the rash may not always occur early on.

It starts as small, red pinpricks before spreading quickly and turning into red or purple blotches, the NHS says.

You can check if you or your child has it by pressing a glass against the rash - if it does not fade on pressure, then it is caused by meningitis. 

It can be a sign of sepsis caused by meningitis and you should call 999 straight away.

All parents are told to vaccinate their babies against meningitis very early on.

4. A patchy red rash that can turn scaly: Lymphoma

Mycosis fungoides is a common rash in patients diagnosed with lymphoma.

Lymphoma is a cancer of the lymphatic system - the network of tissues and organs in our body that work to rid us of toxins.

It can be particularly dangerous because the cancerous cells can travel through the body in the bloodstream.

The cancer cells can then grow in several places at once, affecting multiple parts of the body.

A person with lymphoma may develop mycosis fungoides, a rash that is caused when the blood travels to the upper layer of the skin.

In its early stages it may appear as a patchy red rash but as it progresses it tends to become scaly.

It may be itchy and look similar to eczema.

 Petechiae is caused by broken blood vessels under the skin
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Petechiae is caused by broken blood vessels under the skinCredit: Alamy

5. Tiny red spots covering the skin: Leukaemia

Leukaemia, a type of  blood cancer that starts in the bone marrow, can spread throughout the body in the bloodstream.

A person with leukaemia may also develop tiny red spots on their skin known as petechiae.

The rash is caused by broken blood vessels under the skin.

Children may also develop a rash called acute myelogenous leukaemia, which causes dark spots to appear on the skin.

6. Red spots UNDER the skin: Blood clotting issues

If you notice purple spots under the skin, ranging in sizes from small dots to large patches, it could signal a blood clotting disorder.

The rash is called purpura, which can be either caused by low or high levels of platelets - cells in the blood that cause clotting.

Examples of things that could cause this rash include weak blood vessels, scurvy, medications or vaccines, infection such a HIV or Hepatitis C, or a condition present from birth.

7. Reddish rash on your hands or back: Any cancer

Dermatomyositis tends to appear as changes around your nail folds, a reddish rash on the back of your hands, especially around the knuckles, and a shawl-like red rash on your back.

This rash can be associated with any type of cancer.

It can also appear on your face, eyelids, chest, knees and elbows.

Dermatomyositis can also cause muscle weakness and inflamed muscles.

8. Dark, thicker patches of skin: Cancer or diabetes

Acanthosis nigricans is when darker, thickened patches of skin develop around the armpit, groin and neck.

It's not a condition in itself but a sign of an underlying health problem.

The patches will be dry and rough, feeling similar to velvet, and can also be itchy.

Acanthosis nigricans usually develops slowly over time but spreading quickly has be linked to cancer.

A dark patch (or band) of velvety skin on the back of your neck, armpit, groin, or elsewhere could mean that you have too much insulin in your blood - a sign of diabetes.

While diabetes itself is not deadly, it has a number of serious complications from heart attacks to amputations, so it is vital to get an early diagnosis.7

9. Purplish rash with swelling, blackening: Rotting flesh

An immediate medical concern, necrotising fasciitis is a rare but serious bacterial infection that causes the skin to “rot”.

Necrotising fasciitis can start from a relatively minor injury, such as a small cut, which allows bacteria to get into the skin.

Symptoms usually come on suddenly and fast. 

The affected area swells and may show a purplish rash.

This leads to large dark marks forming that turn into pus-filled blisters. The wounds blacken as the tissue dies.

Just four or five days after the infection starts, a person can become seriously ill with dangerously low blood pressure and high temperature. 

Even with treatment, it's estimated that up to two in every five cases of necrotising fasciitis end in death.

10. Widespread rash: Drug allergy 

A rash that covers a wide area could be a sign of drug hypersensitivity syndrome (DRESS) - when a medication causes an allergy. DRESS can take a few weeks to appear after you start a new drug, and continue for a while even if you stop taking it.

Patients report a diverse range of rashes - from blistering and lesions to eczema and facial swelling. DRESS can lead to issues with internal organs, which is why it's so serious. It could cause multi organ failure, or lead to lung disease, inflammation of the heart and seizures.

BUT... in most cases a rash is harmless

With skin rashes linked to so many serious diseases, including cancer, Dr Hussain reassured most of the time, a rash is harmless.

"The most common cause of a rash will NOT be cancer related.  I think that is a really important message to give to people," he said.

"The bottom line is if there is anything on your skin that you are worried about, you go and see your GP."

 Dermatomyositis usually causes a red shawl-like rash on the back. This rash could be an indicator that you are suffering from cancer
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Dermatomyositis usually causes a red shawl-like rash on the back. This rash could be an indicator that you are suffering from cancerCredit: Alamy
 Acanthosis nigricans refers to darkened, thickened patches of skin that usually develop in the armpit, groin and neck - it has been linked to cancer
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Acanthosis nigricans refers to darkened, thickened patches of skin that usually develop in the armpit, groin and neck - it has been linked to cancerCredit: Alamy


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