{"id":1848,"date":"2018-01-02T17:36:04","date_gmt":"2018-01-02T17:36:04","guid":{"rendered":"http:\/\/papergp.com\/index.php\/paediatrics\/viral-skin-infections-in-a-child\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"viral-skin-infections-in-a-child","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/paediatrics\/viral-skin-infections-in-a-child\/","title":{"rendered":"Viral skin infections in a child"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Roseola infantum\n<ul>\n<li>High fever followed by macular rash. After rash develops, fever settles<\/li>\n<li>Rash &#8211; pink almond-shaped macules &#8211; may be discrete or merge &#8211; lasts up to two days<\/li>\n<li>No scaling<\/li>\n<\/ul>\n<\/li>\n<li>Measles\n<ul>\n<li>General &#8211; fever, malaise, runny nose<\/li>\n<li>Eyes &#8211; red conjunctiva, photophobic<\/li>\n<li>Mouth &#8211; white spots on buccal mucosa<\/li>\n<li>Rash &#8211; day four of illness, starts on forehead and behind ears &#8211; spreads within 24 hours to face, trunk, limbs &#8211; initially macular and then develops into red papules that coalesce<\/li>\n<\/ul>\n<\/li>\n<li>Molloscum contagiosum\n<ul>\n<li>Rash &#8211; discrete, pale, flesh-coloured, dome-shaped papules with central umbilications<\/li>\n<\/ul>\n<\/li>\n<li>Rubella\n<ul>\n<li>Lymph nodes &#8211; enlaged sub-occipital, post-auricular and cervical LN up to 1 week before rash<\/li>\n<li>Mouth &#8211; dull red macules<\/li>\n<li>Rash &#8211; first on face then spreads to trunk and limbs &#8211; initially discrete pink macules, the face clears and the trunk becomes more erythematous as the macules coalesce. Generally fades by day four.<\/li>\n<\/ul>\n<\/li>\n<li>Herpes zoster (Shingles)\n<ul>\n<li>Prodromal symptoms &#8211; four day history of hyersensitivity in the affected dermatome before the rash appears<\/li>\n<li>Rash &#8211; swollen red plaque affecting a dermatome followed by clusters of vesicles on the plaque which eventually become purulent<\/li>\n<\/ul>\n<\/li>\n<li>Hand, foot and mouth disease\n<ul>\n<li>General &#8211; fever<\/li>\n<li>Mouth &#8211; painful stomatitis, multiple aphthous ulcers<\/li>\n<li>Hands and feet &#8211; (1\/3 will not have these) small red macules which develop into oval vesicles<\/li>\n<\/ul>\n<\/li>\n<li>Herpes simplex rash\n<ul>\n<li>Prodromal symptoms &#8211; tenderness or burning before rash appears<\/li>\n<li>Rash &#8211; vesicles on an erythematous background &#8211; characteristically focal, recurrent infection affecting the same site<\/li>\n<\/ul>\n<\/li>\n<li>Erythema infectiosum (Fifth disease \/ Slapped cheek)\n<ul>\n<li>Rash &#8211; slapped cheek appearance sparing nasolabial folds and circum-oral region &#8211; two days later, a lace pattern of erythema may develop on the extremities, trunk and buttocks<\/li>\n<\/ul>\n<\/li>\n<li>Varicella (Chicken pox)\n<ul>\n<li>Prodromal symptoms &#8211; low-grade fever, malaise, headache<\/li>\n<li>Rash &#8211; red papules which become itchy vesicles and pustules &#8211; typically begins on trunk and spreads to face and extremities<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>History\n<ul>\n<li>As above<\/li>\n<\/ul>\n<\/li>\n<li>Examine\n<ul>\n<li>HR, RR, Temperature, Sats<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Treatment\n<ul>\n<li>As per condition<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Followup\/Safety-Net<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Roseola infantum High fever followed by macular rash. After rash develops, fever settles Rash &#8211; pink almond-shaped macules &#8211; may be discrete or merge &#8211; lasts up to two days No scaling Measles General &#8211; fever, malaise, runny nose Eyes &#8211; red conjunctiva, photophobic Mouth &#8211; white spots on buccal mucosa Rash &#8211; &hellip; <a href=\"https:\/\/papergp.com\/index.php\/paediatrics\/viral-skin-infections-in-a-child\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Viral skin infections in a child<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":96,"menu_order":78,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1848","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1848"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1848\/revisions"}],"predecessor-version":[{"id":1943,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1848\/revisions\/1943"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/96"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}