Varicella

Background

  • Also known as "Chicken Pox"
  • Contagious until last lesion crusts over

Diagnosis

  • 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

Treatment

    • Tylenol, antihistamine
    • Immunocompromised: IV acyclovir or high-dose PO tx (600mg/m2/day)

See Also

Pediatric Rashes