K.D.
It could be a cold sore or impetigo. Since no one in the family has cold sores, the second is more likely. She will need to be treated by a doctor if it's impetigo. Otherwise, Abreva helps a lot with cold sores, although we just discovered from the doctor that taking Valtrex will help a cold sore as well. She'd need a prescription for that as well, if she's even old enough for it. I don't remember what a cold sore not treated looks like since we've always treated. Impetigo will break open and get an icky yellow crust. You want to start treating with antibiotics long before then as it will most likely leave a scar if it reaches that stage. Either way, she is very contagious. My husband and I were always careful with his cold sores, but after 9 years of marriage, I have finally caught them. So far, the kids don't have them. One thing that might help you diagnose is if the lip tingles or tingled before the sore came. Then it is most likely a cold sore.