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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Chicken Pox, Have Breakouts, Fever, Loss Of Appetite. Suggestion?

Hi my daughter was diagnosed with chicken pox but cant help wonder if it is actually HFMD as there has been a break out in my area. She has spots around her mouth and on her hands, arms, behind her knees all over her thighs and a couple on her scalp even one on her ear and nose. I have been putting calamine lotion on the spots to stop her from scratching them. She is miserable most of the time and will not eat much, she had a high temp before the spots broke out and even threw up in the middle of the night. Does this sound like foot and mouth? or was the doc right please set me straight.

Cheers Trace
Fri, 5 Jul 2013
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General & Family Physician 's  Response
Hi

Chicken pox usually follows the following 3 phases:
•     Phase 1: Mild to moderate fever with anorexia, malaise etc. for 1 – 2 days
•     Phase 2: Typical rash appears from 2nd day of fever. These rashes are intensely itching which rapidly evolves into fluid filled vesicles and crust in 24-48 hours. These rashes are mainly seen on trunk and back. New rashes keeps appearing for 3 – 4 days hence we see different stages of the evolutions i.e. macules, papules, vesticles and scabs.
•     Phase 3: Scabs gradually falls off in 7 – 14 days leaving behind hypo pigmented scars for 4 – 8 weeks

Hand, Foot and Mouth Disease is a self limiting disease, characterized by
•     Mouth and throat ulcers
•     Tender vesicular lesions on dorsum of hand/feet
•     Lesion heals in 5 to 7 days

Lastly you should not stress yourself whether it is HFMD or C. Pox; the treatment pattern for both the disease is more or less the same. Kindly have trust in your pediatrician and let him/her hand the case.

Wishing your daughter quick recovery

Take care :)
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Diagnosed With Chicken Pox, Have Breakouts, Fever, Loss Of Appetite. Suggestion?

Hi Chicken pox usually follows the following 3 phases: • Phase 1: Mild to moderate fever with anorexia, malaise etc. for 1 – 2 days • Phase 2: Typical rash appears from 2nd day of fever. These rashes are intensely itching which rapidly evolves into fluid filled vesicles and crust in 24-48 hours. These rashes are mainly seen on trunk and back. New rashes keeps appearing for 3 – 4 days hence we see different stages of the evolutions i.e. macules, papules, vesticles and scabs. • Phase 3: Scabs gradually falls off in 7 – 14 days leaving behind hypo pigmented scars for 4 – 8 weeks Hand, Foot and Mouth Disease is a self limiting disease, characterized by • Mouth and throat ulcers • Tender vesicular lesions on dorsum of hand/feet • Lesion heals in 5 to 7 days Lastly you should not stress yourself whether it is HFMD or C. Pox; the treatment pattern for both the disease is more or less the same. Kindly have trust in your pediatrician and let him/her hand the case. Wishing your daughter quick recovery Take care :)