varicella

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Written by Hu Qi Feng
Pediatrics
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What should be paid attention to when children have chickenpox?

Chickenpox is a self-limiting disease, and when there are no complications, treatment generally focuses on symptomatic relief. During illness, isolation should be maintained to prevent infection and enhance care, such as frequently changing underwear, trimming the child's nails, and wearing gloves to prevent scratching. Keep the air well-ventilated, provide sufficient fluids and easily digestible food. If a secondary bacterial infection occurs, antibiotic treatment should be administered. The child should be isolated until all the rash has crusted over.

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Written by Li Jiao Yan
Neonatology
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Can you get the chickenpox vaccine if you have a cold?

Vaccination is generally required when the baby is healthy, as most vaccines are antigens introduced into the human body to elicit an antibody response from the immune system. If a baby has a cold, it indicates a weaker immune resistance and possible bacterial or viral infection. Vaccinating in such a condition could potentially worsen the cold due to the already compromised immune system and may lead to other side effects such as high fever, rashes, or even other infections. Therefore, it is not recommended to vaccinate while the baby has a cold. It is better to wait a few days until the cold symptoms have completely subsided before vaccinating. Generally, delaying vaccination will not affect the baby and will be rescheduled according to the plan. Thus, it is best not to vaccinate when the baby has a cold.

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Written by Hu Qi Feng
Pediatrics
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Symptoms and Treatment of Chickenpox in Children

Chickenpox is an acute, contagious, exanthematous disease caused by varicella-zoster virus infection. Before the rash appears, symptoms such as fever, discomfort, and loss of appetite may occur. The fever typically lasts about one day before the rash emerges. The rash initially appears on the head, face, and trunk with a centripetal distribution. The rash can present as macules, papules, vesicles, and crusts all appearing simultaneously. Rashes can also appear on the mucous membranes of the mouth and the genital area. The treatment for chickenpox involves symptomatic and supportive care, and antiviral medications may be used appropriately to protect the skin and prevent scratching.

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Written by Yuan Lin Yan
Infectious Disease
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How is chickenpox treated?

The symptoms of chickenpox often present no symptoms in infants and toddlers, but they may experience low fever, irritability, and reluctance to breastfeed. Simultaneously, a rash appears. In older children and adults, symptoms can include low fever, headache, fatigue, sore throat, cough, and loss of appetite, followed by the appearance of a rash after one to two days. The rash first appears on the torso and then spreads to the face and limbs. Since chickenpox rash typically appears in batches, at the same site one may see maculopapular rashes, vesicles, and scabs. About a week later, the scabs fall off, generally leaving no scars. However, secondary bacterial infections of the rash can occur, leading to complications such as pneumonia, encephalitis, and hepatitis. Chickenpox is a self-limiting disease that usually resolves itself in about ten days. Treatment of chickenpox involves isolating the patient until all the blisters have completely scabbed over. During the fever phase, bed rest is recommended, along with easily digestible food and adequate hydration. Skin care should be emphasized to prevent infection. Early antiviral treatment can be effective, particularly if administered within 24 hours of the appearance of the rash, as it can help control the rash's progression and accelerate recovery. In cases of secondary bacterial infection, antibiotics should be used. If encephalitis leads to cerebral edema, dehydration treatment should be administered. The use of corticosteroids is not advisable for chickenpox as they can cause the disease to spread.

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Written by Yuan Lin Yan
Infectious Disease
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Symptoms of chickenpox

Chickenpox symptoms are divided into two phases, namely the prodromal phase and the rash phase: 1. Prodromal phase. Infants and young children often have no symptoms or only mild symptoms, which may include mild fever, irritability, refusal to breastfeed, and the simultaneous appearance of rashes. Older children and adults may experience chills, mild fever, headache, fatigue, sore throat, cough, nausea, and loss of appetite. These symptoms last for one to two days before the rash appears. 2. Rash phase. The rash first appears on the trunk, then spreads to the face and limbs. It starts as red maculopapular rash, turns into papules within a few hours, and develops into vesicles. The vesicle fluid is initially clear but soon becomes cloudy, and itching often accompanies the vesicles. About a week later, the scabs fall off and heal, generally leaving no scars. However, if there is a secondary infection, pus-filled lesions may form, and scabbing and healing may take longer. Chickenpox rashes are distributed centripetally, mainly located on the trunk and then the head and face, with fewer on the limbs. Some patients may also develop vesicles on mucous membranes such as in the mouth, throat, conjunctiva, and external genitalia, which break open to form ulcers. The chickenpox rash often appears in successive crops, so at the same site, maculopapular rash, vesicles, and scabs can be seen concurrently. Chickenpox is generally a self-limiting disease and tends to heal naturally within about ten days. Children usually experience milder symptoms and rashes, while adults have more severe symptoms and are more prone to complications like chickenpox pneumonia. Individuals with lowered immune function are susceptible to disseminated chickenpox, where the rash may merge into larger vesicles. Infections during pregnancy can cause fetal malformations, premature birth, or stillbirth. If chickenpox occurs a few days before delivery, the newborn may contract neonatal chickenpox, which can be quite severe.

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Written by Yuan Lin Yan
Infectious Disease
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What are the symptoms of chickenpox?

Chickenpox is caused by infection with the varicella-zoster virus and is highly contagious. The symptoms of chickenpox mainly include fever and rash. The fever is usually mild and may be accompanied by chills, headache, fatigue, sore throat, and loss of appetite. These symptoms last for one to two days, followed by the appearance of a rash. The rash first appears on the trunk, then on the head and face, with the limbs being relatively less affected. Initially, the rash starts as red maculopapular lesions, which turn into vesicles within a few hours. The chickenpox rash appears in batches. The same area can show maculopapular lesions, vesicles, and crusts. Chickenpox is a self-limiting disease that usually resolves on its own in about ten days. However, complications such as secondary bacterial infections of the rash, pneumonia, encephalitis, and hepatitis can occur, potentially worsening the condition.

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Written by Zhu Zhu
Dermatology
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The differences between measles and chickenpox

Measles and chickenpox, though both are diseases caused by viral infections, have clear differences. Measles is caused by the measles virus, while chickenpox is caused by the varicella-zoster virus. Furthermore, measles generally begins with a fever, and after a few days of fever, red spots and papules appear, whereas with chickenpox, clear vesicular papules appear initially on the trunk or limbs.

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Written by Hu Qi Feng
Pediatrics
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How to treat chickenpox in children?

Chickenpox is a self-limiting disease, and when there are no complications, treatment generally involves basic care and symptomatic management. Patients should be isolated, with enhanced nursing care such as frequently changing underwear, trimming the nails of children to prevent scratching, and reducing secondary infections. It is important to maintain good ventilation in the room, provide adequate water and easily digestible food, and use antipruritic agents as appropriate to relieve itching. Antiviral drugs may be appropriately selected, antibiotics can be used for secondary infections, and corticosteroids should not be used.

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Written by Yuan Lin Yan
Infectious Disease
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Chickenpox Symptoms and Treatment Methods

Chickenpox is caused by an infection with the varicella-zoster virus and is highly contagious. The symptoms of chickenpox mainly include fever and rash. The fever presents as a low-grade fever, possibly accompanied by chills, headache, fatigue, sore throat, and loss of appetite. These symptoms last for one to two days, followed by the appearance of a rash. The rash first appears on the trunk, then on the head and face, and is relatively less common on the limbs. It begins as red maculopapular rash and turns into vesicular rash within a few hours. The chickenpox rash appears in batches, and maculopapules, vesicles, and crusts can be seen in the same area. Chickenpox is a self-limiting disease that can be cured in about ten days. Patients should be isolated until all the vesicles have crusted over. Early in the course of the disease, antiviral treatment with acyclovir can be used. It is important to keep the skin clean and avoid scratching the vesicles to prevent infection.

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Written by Han Jian Hua
Infectious Disease
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Symptoms and Treatment of Chickenpox

The main symptoms of chickenpox include a mild fever and rash, with some patients experiencing headaches, coughs, and other symptoms. Treatment primarily consists of general treatment, antiviral therapy, and treatment of complications.