Varicella

Revision as of 04:54, 4 January 2015 by Arsmd (talk | contribs) (hyperlink added)

Background

Diagnosis

Male with varicella rash: lesions in various stages of development
Classic blister during early stage of lesion development
  • Pruritic generalized vesicular exanthem w/ mild systemic manifestations
  • Usually affects children <10y
  • Rash
    • Starts on trunk or scalp as pruritic, red macules, spreads to extremities
    • W/in 24hr rash becomes vesicular (on erythematous base)
    • Palms/soles spared
    • Lesions in various stages of development

Differential Diagnosis

Pediatric

Pediatric Rash

Treatment

  • Tylenol, antihistamine, oatmeal baths
  • No Aspirin (may predispose to Reye syndrome)
  • Routine use of antiretrovirals for uncomplicated cases in immunocompetent children is not recommended (Tintinallli 7th ed)
  • Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day)

Complications

  • Can include encephalitis, pneumonia, hepatitis, strep/staph superinfection of ruptured vesicles
  • Perinatal infection in neonates may develop serious illness

See Also

Pediatric Rashes