Not sure what your rash is?
An online dermatologist can tell you.

A board-certified dermatologist reviews your photos personally. Written assessment in 8, 24, or 48 hours. No appointment. No personal data.

Consultations from $34.95 · Fully anonymous

Woman holding up her hand to photograph a skin concern using her smartphone

UNDERSTANDING YOUR SKIN

What is a rash?

A rash is any change in your skin that wasn’t there before. In colour, texture, or the way it feels. Some clear up in a few days without you doing anything. Others are worth getting looked at. The hard part is not knowing which you’re dealing with.

Redness & Inflammation

Skin that turns red, feels warm, or flares up in a pattern is usually reacting to something. Where it appears on the body and whether it spreads are often the first things a dermatologist looks at.

Itching — With or Without a Visible Rash

Persistent itch, especially at night or in the same spot, is worth taking seriously. Sometimes it shows before anything visible appears on the skin.

Bumps, Spots & Blisters

Raised or flat, fluid-filled or solid. The details matter more than people realise. Small differences in how a spot looks or feels can point to very different conditions.

Dry, Scaly or Thickened Skin

Patches that keep coming back in the same spots usually have a name. Eczema, psoriasis, and seborrhoeic dermatitis all look different and need different approaches.

CONDITION GUIDE

Identify your rash:
By appearance, cause & location

Most rashes fall into recognisable patterns. Browse by what it looks like, what may have caused it, or where on your body it appears.

By Appearance: What does it look like?

Start with what you can see. How a rash looks is usually the first and most useful clue.

Red spots on skin

Person looking at red spots on the hand

Red spots can be many things. Shingles, insect bites, contact dermatitis, telangiectasia, pityriasis versicolor, cherry angiomas. Some are harmless. Some need attention. The guide covers the most common causes with pictures to help you identify what you’re looking at.

See Causes & Pictures

Itchy rash: common types & causes

Person scratching an itchy rash on their forearm

Not all itchy rashes are the same condition. Some are inflammatory, some infectious, some caused by a fungus or parasite. This guide covers the most common types with pictures — organised by what’s causing the itch, not just what it looks like.

See the visual guide →

Itchy red bumps

Hand applying topical cream to itchy red bumps on the arm

Raised and itchy is one of the most common combinations — and one of the hardest to self-diagnose. The same appearance can come from very different causes. How it started, where it is, and how the itch behaves are what separate them.

See causes & pictures →

Non-itchy flat spots & raised bumps

Close-up illustration of mixed flat spots and raised bumps on skin

No itch doesn’t mean nothing to worry about. Flat spots, raised bumps, and patches that don’t cause irritation still have causes worth understanding. Some are benign. Some are skin changes that are easier to address when identified early.

See causes & pictures →

By Cause: What triggered it?

If something changed recently, a new medication, an illness, heat, or something your skin came into contact with, start here. Sometimes knowing the trigger is the shortest route to knowing what the rash is.

Drug rash

Person with red spots on hands and neck standing next to prescription medication bottles

 

Started a new medication recently? A rash that appears one to two weeks after is worth connecting to what you’ve been taking. Drug rashes can spread quickly and are often mistaken for something else. The guide covers what they look like, which medications commonly trigger them, and what to do next.

Read the full guide →

Heat rash (Miliaria)

Woman with red heat rash on face and arms in a hot humid room with a fan

 

Small red or clear bumps that appear when sweat glands get blocked. Common in hot weather, humid conditions, or after exercise. Most cases settle once the skin cools down. In infants, or when it spreads or persists, it is worth getting looked at.

Read the full guide →

Viral rashes

Illustration of widespread red spots covering a person's back and neck

Several common viruses produce skin rashes that are regularly mistaken for allergic reactions. Measles, chickenpox, shingles, roseola, hand foot and mouth disease. Each looks different and behaves differently. If a rash appeared during or shortly after an illness, that context matters when identifying what it is.

Read the full guide →

Scabies

Caused by a tiny mite that burrows into the skin. The itch is relentless, typically worse at night, and concentrated between the fingers, around the wrists, and in skin folds. It spreads through close contact and won’t clear with antihistamines or moisturisers. It needs specific treatment to resolve.

Read the full guide →

By body location: Where is it?

Where a rash appears is often as telling as how it looks. Skin in different parts of the body behaves differently. Heat, friction, and moisture all affect what conditions are likely in that area.

Armpit rash

 

Woman raising her arm to examine a red rash in her armpit area

The armpit is warm, enclosed, and frequently in contact with deodorants and fabrics. That combination makes it prone to a specific set of conditions. Chafing, heat rash, contact dermatitis, fungal infections, and inverse psoriasis are among the most common. Most respond well once the right cause is identified.

Read the full guide →

Buttock rash

Illustration showing red spots and bumps across both buttocks

More common than people think, and usually straightforward to identify. Folliculitis, contact dermatitis, fungal infections, and inverse psoriasis are the most frequent causes.

Read the full guide →

Breast rash

Most rashes on or under the breast are caused by friction, moisture, or skin conditions like eczema or intertrigo. But some presentations are associated with underlying conditions that are important not to miss. If you are unsure, a dermatologist can tell you what you are looking at.

Read the full guide →

Genital & intimate skin rash

Anatomical outline showing skin spots in the genital area

Skin changes in the genital area can have a range of causes, from common skin conditions like eczema, psoriasis, and contact dermatitis, to infections that need specific treatment. The two guides below cover male and female presentations separately, with pictures to help identify what you are looking at.

Male: Penile & scrotal skin conditions →

FIRST DERM FOR RASHES

Online dermatologist consultations for rashes

A rash shouldn’t mean waiting weeks for an appointment. Send your photos, describe what you’re experiencing, and a board-certified dermatologist will write back with a clear opinion within hours.

A specialist's opinion within hours

Choose a response time of 8, 24, or 48 hours. A board-certified dermatologist reviews your photos and writes back within that window.

Specialist expertise, personally delivered

Every case is reviewed by a board-certified dermatologist. That means someone who has completed specialist residency training and passed recognised certification exams. Not an algorithm. Not a general practitioner. A dermatologist.

Guidance on over-the-counter care

Where a rash can be managed without a prescription, the dermatologist will say so and tell you what is worth trying. Specific products, what to avoid, and why.

Private by design — no personal data required

No account. No name. No address. You submit two photos and a short description. Nothing else is collected. For many people, particularly when the rash is somewhere private, that matters.

Clarity on what to do next

The written assessment tells you what the rash likely is, what it means, and what to do next. If you need to be seen in person, the dermatologist will say that clearly.

Available wherever you are

Wherever you are, a dermatologist’s opinion is available without needing to be in the same room. At home, travelling, or somewhere with limited access to a specialist.

THE PROCESS

How it works

The whole thing takes a few minutes to set up. Here’s exactly what happens between submitting your photos and receiving your assessment.

Woman using a smartphone to photograph a skin condition on her hand

1. Take 2 photos

  • One close-up of the rash itself.
  • One showing where it sits on the body.
  • Clear, natural light works best. No special equipment needed.
Example consultation description for dermatologists reference at first derm

2. Describe what you're experiencing

When it appeared, whether it itches or has spread, and anything else that feels relevant. A few sentences is enough — the dermatologist will have your photos to work from.

3. Pick how quickly you need a response

8, 24, or 48 hours. Choose based on how urgent it feels. The faster option costs more, but it is there when you need it.

Woman smiling while reading a written assessment on her smartphone

4. Receive a written assessment from a dermatologist

A board-certified dermatologist reviews your photos and description personally and writes back with their opinion. What the rash likely is, what it means, and what to do next.

Not sure what your rash is?

Two photos and a short description is all it takes. A dermatologist will review your case and send you a clear written assessment.

From $34.95 · No personal data · Response in 8–48 hours

USER FEEDBACK

What First Derm users say

 

Excellent help with clear advice

It’s a very helpful service! I paid for 48hr response but they got back to me in about 30hr. The issue I had was something I’d never would have been able to identify on my own since it didn’t appear as a result when googling or asking ChatGPT. Glad I used it instead of self-diagnosing!

Helped in 16 hours

 

 

Quick and Detailed Response!

I used First Derm when I had a rash and didn’t have time to visit the doctor’s office.

I received an answer within a few hours with a quick and detiled answer and an over the counter medicine recommendation.

Helped in 7 hours

 

 

Quick and insightful consultation

I had a rough patch of skin that, even after consulting two doctors, I couldn’t get a clear diagnosis. This was worrying me, so I turned to First Derm. The Doctor sent a detailed response back to me within two hours. This is such a nice service to have especially when it takes forever to get an appointment to see a dermatologist.

Helped in 11 hours

 

FREQUENTLY ASKED QUESTIONS

FAQ: Online rash consultation

Can a dermatologist really tell what a rash is from photos?

Yes. Dermatology is a visual specialty. A significant part of what dermatologists do, in a clinic or online, involves looking carefully at how a rash appears and hearing how the person describes it. Photos do not replace every in-person examination, but they provide a genuine specialist opinion. If yours needs to be seen in person, the dermatologist will tell you.

How quickly will I get a response?

First Derm offers three response options: 8 hours, 24 hours, or 48 hours. You choose your preferred window at the point of submission, and your written assessment will arrive within that time. The 8-hour option is available at a relatively higher price tier.

Is the service genuinely anonymous — do I need to provide personal details?

First Derm does not require account creation and collects no personally identifiable information. You submit two photographs and a brief written description of your concern — nothing else. No name, no address, no login. This level of privacy is particularly valued by people with rashes in sensitive or intimate areas who would prefer not to discuss their concern in a clinical setting.

Will the dermatologist prescribe medication?

No. First Derm is an assessment and advisory service. Our dermatologists provide a professional written opinion, not a prescription. The assessment includes their clinical view of the likely condition, relevant information about that condition, and guidance on appropriate next steps. Where applicable, the dermatologist may advise on over-the-counter options, but no medications are prescribed or dispensed through the platform.

What types of rash can be assessed through an online consultation?

Most rash presentations can be assessed through photos. Drug rashes, heat rash, viral skin conditions, itchy bumps and spots, rashes by body location including armpit, breast, genital area and buttocks, and ongoing conditions like eczema and psoriasis. Contact dermatitis and seborrhoeic dermatitis are covered in our eczema guide. If the rash needs urgent in-person attention, the dermatologist will say so.

Can First Derm consultations be used for children's rashes?

Yes. The service works for adults, teenagers, and children. Parents use it regularly to get a fast specialist opinion on rashes in infants and young children, which often means fewer unnecessary trips to urgent care.

How much does an online rash consultation cost?

Consultations start from $34.95. The price varies by response time. It is a single one-time payment with no subscription and no follow-up charges.
logo
1 (415) 234-4124

boots_menu

Get Checked