Differences between chickenpox and hand, foot, and mouth disease

Patient's question:

Skin, chest, back, limbs, palms, soles, and oral mucosa are affected, with some involvement in the buttocks, but more on the head and chest/back. There is a slight discharge of mucus. In good spirits, slightly decreased appetite, frequent urination, slightly dry stools, and mild cough (has been persistent). High fever; treatment history from 3 days ago and...

Doctor's answer:

Alright, this situation is likely chickenpox. Please have the clinical diagnosis doctor make a specific diagnosis.
Medical Advice: The incubation period for chickenpox is approximately 14 days. It begins suddenly with mild to moderate fever and then appears as a rash. The rash first appears on the scalp and over the body's pressure points, arranged in a centrifugal pattern. Over a six-day rash period, the lesions successively appear. The skin lesions evolve from small red macules to papules, then to vesicles, and finally to crusts, leaving no scars after crusting.
During the vesicular stage, itching is prominent. If scratching leads to secondary infection, mild depressions may remain. There is no specific treatment for this disease; the main approach is symptomatic relief and preventing secondary skin infections. Keep the skin clean to prevent itching.
When blisters rupture or secondary infection occurs, a 1% gentian violet solution can be applied locally. For intact blisters, calamine lotion can be used. Early antiviral medication may be helpful. Daily intramuscular injection of vitamin B12 also has some efficacy. If secondary infection occurs, effective antitoxins can be used. Chickenpox should not be treated with steroids to avoid viral dissemination.

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