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[Sticky] Rash


Michael Gray MD JD
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Yes — many skin rashes can be evaluated and treated through telemedicine, especially when you can share clear photos or use video during the visit.

A virtual clinician can often diagnose common skin conditions, recommend treatment, and prescribe medications when appropriate.

👍 Telemedicine is usually appropriate for rashes such as

Mild or slowly spreading red or itchy rashes

Contact dermatitis (plants, soaps, metals, adhesives)

Eczema / atopic dermatitis flares

Heat rash

Hives (without breathing problems)

Fungal rashes (ringworm, jock itch, athlete’s foot)

Mild insect bites or localized reactions

Dry or irritated skin

During a virtual visit, the clinician can:

Review when and how the rash started

Ask about exposures (plants, detergents, new meds)

Examine photos or video of the rash

Recommend home treatments or prescribe:

topical steroids

antifungal creams

antihistamines

emollients or barrier creams

Advise on when in-person follow-up is needed

Good, well-lit photos from multiple angles are very helpful.

🟡 Telemedicine may be appropriate but could need follow-up if

The rash is painful or worsening quickly

You have fever or feel ill

The rash lasts >2–3 weeks

It involves the face, groin, or genitals

There’s drainage, crusting, or possible infection

You recently started a new medication

It’s in an infant or very young child

A clinician may recommend an in-person skin exam, labs, or dermatology referral in these cases.

🔴 Seek urgent in-person or emergency care — not telemedicine — if

Rash is accompanied by:

trouble breathing, throat swelling, or dizziness

rapidly spreading blistering or peeling skin

purple / bruise-like spots

stiff neck, confusion, or high fever

Suspected severe drug reaction

Signs of cellulitis with spreading redness and severe pain

These can be medical emergencies.


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