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a 29yr male c/o vesicular rashes whole body since 2 days with mild itching.The rashes was followed by fever and pts took pcm.No allergic hx or any other contact....dxn n tx plz....

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Verified response This is characteristic dew drop on rose petal appearance rash, suggesting CHICKEN POX. In this case, 29 years is uncommon age for chicken pox. 90% are in childhood. the patient should be evaluated to know whether he is immuno competent or immuno deficient. for immuno competent adult, Oral Acyclovir 800mg 5times a day for 7 days is the treatment of choice.Antihistamines for itching can be given. calamine lotion can be used. Pt should be advised not to scratch the rash as it could lead to bacterial superinfection and scarring which is otherwise absent as the rash heals without scarring. if immunocompromised very high chance of complications are present, IV therapy and intensive care is required.
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chickenpox.......it is self limiting viral infection....... ** if patient comes within 48- 72 hrs. of rash start antiviral drug ....Acyclovir/ valsacyclovir / Femcicyclovir...... * Antihistamine for itching * Calamine lotion for soothing effect......also reduces itching ... *. Advice patient for not to scratch the rash ...as it may cause permanent skin marks.. ** Keep personal hygiene by using separate towel and other toiletries...
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chicken pox
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is it necessary to give acyclovir... because it's a self limiting ds... will pt tolerate 800mg five times a day...if v hv to give than how v can modify dose so tat pt can tolerate...Thanx ...
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common presentation of chickenpox with which patient visits to GPs
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