What is the typical treatment for exanthematous/morbiliform rash?

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The typical treatment for an exanthematous or morbiliform rash commonly involves the use of oral antihistamines. These rashes are often a result of drug reactions or viral infections, leading to itchy and widespread skin eruptions. Antihistamines help to alleviate the associated itching and discomfort from these rashes, allowing for symptomatic relief.

In many cases, exanthematous rashes may resolve on their own without the need for extensive medical intervention. However, managing the pruritus (itchiness) through antihistamines is an effective approach to improve the patient's comfort during the healing process. This symptom management is crucial, especially since the rashes can be bothersome and interfere with daily activities.

While systemic corticosteroids may be indicated for other more severe dermatological conditions or inflammatory reactions, they are not typically the first line for uncomplicated exanthematous rashes. Topical antifungals are primarily used for fungal infections and are not relevant in the treatment of morbiliform rashes. Cold compresses can provide some symptomatic relief for localized discomfort but are less effective than antihistamines for general itch management in these cases.

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