Pediatric rashes: Difference between revisions

Revision as of 21:56, 11 June 2012

Caused by GAS
Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later
Rash
- Enanthem
  - Tonsils/pharynx are red and covered w/ exudate
  - Tongue may have initial exudate followed by erythema ("strawberry tongue)
  - Soft palate have bright-red spots
- Exanthem
  - Starts on neck, axillae, groin, spreads to trunk and extremities
  - Red, finely punctate, sandpaper feel
  - Desquamation follows
Treatment (to reduce rheumatic fever / nephritis)
- Penicillin VK 50mg/kg BID x 10d OR amoxicillin 40mg/kg/d in 2 divided doses x10d
- If pen allergic: Azithromycin 10mg/kg on day 1, 5mg/g days 2-5

Tintinalli

Authors:

@@ Line 26: / Line 26: @@
 **If pen allergic: Azithromycin 10mg/kg on day 1, 5mg/g days 2-5
-==Enteroviral Infections==
+==[[Enteroviral Infections]]==
-*Includes echovirus and coxsackie
-*Rubella-like appearance of rash w/ discrete maculopapular nonpruritic rash
-*No specific therapy; self-limited
-===Hand Foot Mouth Disease===
-*Caused by coxsacke virus
-*Brief prodrome w/ low fever, anorexia, sore mouth
-*Oral lesions appear 1-2d later
-**Vesicles on erythematous base
-**Painful
-*Hand/foot lesions
-**Red papules that change to gray vesicles
-===Herpangina===
-*Caused by coxsackievirus
-*Prodrome
-**Sudden onset of high fever, sore throat, malaise
-*Rash appears 24-48hr after prodrome
-**Vesicles 1-2 mm in size that rupture leaving shallow, painful whitish ulcers on soft palate/posterior pharynx
-**Similar to hand, foot, mouth disease but w/o skin lesions
-*Lasts 7-10d
 ==See Also==