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Ask Dr. Lindeman

Dear Dr. Lindeman,
My daughter has developed a pink, itchy rash. What is it?


If the rash is raised pink, itchy spots with pale centers that look like mosquito bites she has hives. Hives range in size from 1/2 inch to several inches across. They often change size, shape and even location.

Hives are an allergic reaction to a food, viral infection, insect bite and many other sources. 90% of the time, however, we never figure out what causes hives.

Home Treatment

  • Antihistamines: Benadryl (the generic is diphenhydramine) is the best choice for home treatment. Proper Benadryl dosing is indicated on the packaging. Give Benadryl 4 times per day until the hives are completely gone for 24 hours. The chief side effect is drowsiness, although a minority of children becomes more irritable than drowsy.
  • Itching: Rub very itchy areas with ice. A cool bath may relieve itching as well.
  • Avoidance: Assuming you can identify the cause, avoidance is the mainstay of hive prevention.

Call us immediately at 508-655-9699 if

  • Your child develops trouble breathing or swallowing
  • Your child begins acting very sick

Call during call-hour at 508-655-9699 if

  • The itching is not controlled by antihistamine after 24 hours
  • The hives last longer than one week
  • You have other questions or concerns.

Natick Pediatrics, PC
Lincoln Medical Building
61 Lincoln Street, Suite 210
Framingham, MA 01702

(508) 655-9699
(508) 655-2984 fax

Updated: 10/17/02