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Forum Name: Pediatric Topics

Question: spots and blisters


 gullsgirl - Tue Feb 08, 2005 7:29 am

:( my 16 month old son has been going to nursery for 4 months now and an outbreak of hand foot and mouth has started. he has developed fever, and a rash on his arms blisters on his hands and in the mouth. how do i tell if he has got it or it is chickenpox??
 Dr. Heba Ismail - Tue Feb 08, 2005 4:04 pm

Dear gullsgirl,
Chicken pox typically shows crops of 'teardrops' or 'dew drops' on a rose base. They appear initially on the face and trunk, beginning as red spots which gradually turn into vesicles, and finally crust. These lesions usually spare the hands and feet.
There is usually an associated fever.
Hand, foot and mouth disease, as its name suggests, typically involves the areas mentioned, together with the buttocks.
The lesions begin as a 2-10 mm spot on which a gray vesicle appears.
The mouth vesicles are rarely seen because they rapidly become ulcerated with an average number of 5-10 ulcers.
As for the skin vesicles, the hands seem to be affected more than the feet, with the back of the hands and sides of the fingers more than the palms. They usually disappear within 3-7 days.

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