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Blanching Rash: A True Rash or Skin Press Discoloration?

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A blanching rash is a rash that turns the colour of your skin while you press it. This is against a non-blanching rash or one which stays red or coloured even while you apply pressure. In general, a blanching rash is more common and fewer serious than a non-blanching rash. Meningitis rashes and sepsis rashes are examples of non-blanching rashes. However, some blanching rashes can still be serious, including hives. Blanching skin can even indicate poor circulation.

Continue reading to learn more about blanching rashes, including when to see a health care provider for a rash.

Evgeniia Gordeeva / Getty Images


Does a Blanching Rash Mean Anything?

A blanching rash is a rash that turns temporarily white or the colour of your skin while you press on it. On darker skin tones, the rash may not turn white, but areas of redness, purpleness, and discoloration will disappear while you apply pressure.

To determine whether you could have a blanching rash, calmly press on a red or purple area. If it turns lighter briefly, it’s a blanching rash. You can even use a transparent glass cup to press calmly in your skin or your child’s skin. If the skin beneath the glass is light and now not discolored, they could have a blanching rash.

Although blanching rashes are generally less serious than non-blanching rashes, they will still result from serious conditions, resembling hives. When doubtful, seek emergency medical attention whether or not your rash is blanching.

A Word From Verywell

A rash that persists despite over-the-counter treatment, is painful, causes blistering, is widespread, or related to symptoms, like fever, headache, difficulty respiratory or lethargy, must be addressed straight away.

Circulation Signs

Poor circulation and conditions like frostbite can even cause blanching skin. This blanching is usually more distinct and long-lasting than a typical blanching rash. Blanching skin resulting from circulation issues often includes other symptoms, resembling:

  • Skin that feels cool to the touch
  • Discoloration that doesn’t resolve quickly while you release the pressure
  • A bluish tinge to the skin
  • Pain or numbness in the world

Associated Conditions

Blanching rashes may end up from a wide range of conditions, including:

  • Hives, or an allergic response, wherein the middle of the hive will turn skin-colored when pressed
  • Psoriasis, wherein the blanching appears across the fringe of the plaques
  • Eczema, wherein skin blanching can last for a very long time

Comparison With Non-Blanching Rash

Though blanching rashes can sometimes be serious, non-blanching rashes (which don’t turn the colour of your skin when pressed) are related to serious conditions, including:

These rashes often seem like tiny pinpricks on the skin, which are usually not itchy.

If you or your child has a fever and a non-blanching rash, it is best to immediately see a healthcare provider. Non-blanching rashes can have less serious causes, like heat rash or chickenpox, however it’s essential to get a radical healthcare evaluation.

What a Blanching Rash Looks Like

A blanching rash may look red, purple, puffy, or inflamed, depending on the basis explanation for the rash. What makes it a blanching rash is that the world with the rash turns white or skin-colored while you apply pressure to it.

Blanching rashes may be numerous several types of skin rashes and have various characteristics. For example:

  • They can occur anywhere on the body.
  • They may or is probably not related to other symptoms, like fever.
  • They may appear in a single location, or everywhere in the body.
  • They could also be itchy or painful, but they may not be.

Reproduced with permission from ©DermNet and ©Te Whatu Ora Waikato www.dermnetnz.org 2023.


Reproduced with permission from © DermNet New Zealand and © Dr. Richard Ashton www.dermnetnz.org 2023.


Reproduced with permission from © DermNet and © Raimo Suhonen dermnetnz.org 2023.


Blanching Rash Treatment

The treatment for a blanching rash will depend upon the underlying explanation for the rash. For example, hives may very well be treated with an antihistamine or anti-itch cream. Psoriasis or eczema may require prescription medication and lifestyle changes. If you could have a blanching rash that doesn’t resolve by itself inside just a few days, reach out to your healthcare provider for advice.

Untreated Blanching Rash Complications

Oftentimes, skin rashes resolve on their very own. However, for those who notice another serious symptoms, like fever, swelling across the mouth or face, or changes in cognition, see a health care provider immediately.

Understanding Blanching vs. Non-Blanching Rash Severity

Non-blanching rashes are related to serious medical conditions (resembling meningitis) that require immediate medical attention.

In many cases, a non-blanching rash isn’t serious. However, since it may be an indication of a potentially deadly infection, like meningitis, it’s essential to hunt medical care immediately for those who or your child has a non-blanching rash, especially if it’s accompanied by a fever.

However, blanching rashes may be serious too. Hives may be related to a potentially deadly allergic response called anaphylaxis. If you could have hives accompanied by changes to your respiratory, vomiting, or other serious symptoms, call your doctor or 911 immediately.

Knowing whether a rash is blanching or non-blanching is useful information while you’re evaluating an illness, however it’s only one piece of the puzzle. When doubtful, at all times reach out to your doctor.

Summary

A blanching rash is a rash that turns white or the colour of your skin while you apply pressure to it. A blanching rash is generally not serious, especially compared to a non-blanching rash, which stays discolored while you apply pressure. However, hives are a form of blanching rash that may be serious, especially in the event that they’re related to other symptoms like changes in respiratory. When doubtful, reach out to your healthcare provider to debate your blanching rash.

Kelly Burch against a great background.

By Kelly Burch

Burch is a New Hampshire-based freelance health author with a bachelor’s degree in communications from Boston University.

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