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Author3 Posts
  #1

A 10-year-old boy develops an itchy,vesicular rash, which is maximal on his face and trunk. Physical examination demonstrates a mixture of lesions, with macules,papules,vesicles, and crusted lesion. The mother reports that the lesions seem to be occuring in crops. Which of the following is the most likely diagnosis?

A. Herpes simplex I
B. Herpes simplex II
C. Measles
D. Shingles
E. Varicella



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  #2

E - typical features.

  #3

yes : )

in healthy children
HSV I -> Gingivostomatitis... location is different but could have vesicles. same stage?
HSV II -> generally,genital infection(painful vesicular lesion)
measles -> not itchy? 3C sx,koplit spot. no vesicular,maculopapular rash down from face
shingles -> adults

VZV ->crops,different stages.vesicles,starts in trunk to extremities and face


How do you differentiate?
http://dermatology.about.com/cs/chickenpox/l/blchickenpox1ph.htm


Edited by Lim on 09/05/06 - 07:48 PM

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