Symptoms and Treatment of Chickenpox in Children

Written by Hu Qi Feng
Pediatrics
Updated on September 23, 2024
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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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Initial symptoms of chickenpox in children

Chickenpox is a contagious respiratory disease caused by a virus, characterized by a rash. Initially, symptoms resemble those of upper respiratory infections such as coughing, runny nose, mild fever, and decreased appetite. Subsequently, maculopapular rashes appear on the scalp and face, which gradually develop into vesicles. These vesicles contain a clear fluid, surrounded by reddened skin and are accompanied by itching. Therefore, if a child exhibits symptoms of an upper respiratory infection followed by vesicular rash, it is important to seek medical advice promptly to confirm if it is chickenpox. If diagnosed with chickenpox, isolation is necessary to prevent cross-infection.

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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.

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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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When to get the chickenpox vaccine?

Chickenpox primarily affects infants and children, and the target group for chickenpox vaccination is mainly 1-12 years old. During this age period, most children enter preschool or elementary school institutions, and the chickenpox virus is highly contagious, transmittable through droplets and contact. Once one child contracts chickenpox, the surrounding children are almost certain to be infected too. Additionally, since there are currently no effective medications to cure chickenpox, it is best to vaccinate within this age range, namely 1-12 years old. Adults can receive the chickenpox vaccine without age restrictions. The timing can be decided based on individual circumstances, but it is generally recommended to get vaccinated before the onset of the peak season for chickenpox, which is best before the spring and winter seasons.

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Chickenpox prevention measures

Chickenpox is an acute infectious disease, and prevention of the infection mainly involves the following three aspects: First, control the source of infection. Patients with chickenpox are the only source of infection, so they should be isolated until all the chickenpox blisters have crusted over. Second, cut off the transmission route. Avoid close contact with chickenpox patients, prevent airborne droplet transmission, and avoid contact with items contaminated with the chickenpox virus. Third, protect susceptible populations. Chickenpox is highly contagious and generally susceptible in the population. Infants over one year old can be vaccinated with the chickenpox vaccine for prevention. Regular exercise, nutritional enhancement, physical strengthening, frequent hand washing, and maintaining ventilation in indoor environments are also advisable.