History:
Exposure
Varicella spreads primarily by airborne respiratory droplets.
Most patients have a history of exposure in the home, daycare center, or school.
Varicella's incubation period typically is 10-14 days, although it may extend to 21 days.
Prodrome
Low-grade fever preceding skin manifestations by 1-2 days.
Complaints of abdominal pain by some children.
Rash, usually starting on the head and trunk and spreading to the rest of the body.
Typically, complaints of intense pruritus.
Headache
Malaise
Anorexia
Cough and coryza
Sore throat
Physical:
Rash
The characteristic rash appears in crops.
An otherwise healthy child usually has 250-500 lesions but may have as few as 10 or as many as 1500.
Each lesion starts as a red macule and passes through stages of papule, vesicle, pustule, and crust.
Redness or swelling around a lesion should lead to suspicion of bacterial superinfection.
The vesicle on a lesion's erythematous base leads to its description as a pearl or dewdrop on a rose petal.
Varicella's hallmark is the simultaneous presence of different stages of the rash.
Some lesions may appear in the oropharynx.
Eye lesions are rare.
New lesions continue to erupt for 3-5 days.
Lesions usually crust by 6 days (2- to 12-d range), and heal completely by 16 days (7- to 34-d range).
Prolonged eruption of new lesions or delayed crusting and healing can occur with impaired cellular immunity.
Fever
Fever usually is low grade (100-102°F) but occasionally may be as high as 106°F.
In otherwise healthy children, fever typically subsides within 4 days.
Prolonged fever should prompt suspicion of complication or immunodeficiency.
2007-04-02 18:24:59
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answer #1
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answered by happyworm 1
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Um, they can vary. When I got the chicken pox I had a sudden out burst of spots. They looked more like a rash to begin with and then got progressively worse over night. Some people just advance slowly into it. It can be like getting the flu. A fever, itchy all over, being restless. If you think you have the chicken pox don't scratch and see a doctor. Chicken Pox can be deadly. Children tend to get over them easier because their immune systems adapt faster in most cases. Adults on the other hand ... it has been known to kill adults because they can not cope with the viruses mutation over time and the stress of life. They are infectious so if you think you have them also try to stay away from other people as much as possible until you get cleared.
2007-04-03 01:22:46
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answer #2
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answered by ~Les~ 6
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Chickenpox is a highly contagious disease that spreads from person to person by direct contact or through the air from an infected person's coughing or sneezing. Touching the fluid from a chickenpox blister can also spread the disease. A person with chickenpox is contagious from 1-2 days before the rash appears until all blisters have formed scabs. This may take 5-10 days.[1] It takes from 10-21 days after contact with an infected person for someone to develop chickenpox.[2]
The chickenpox lesions (blisters) start as a 2–4 mm red papule which develops an irregular outline (rose petal). A thin-walled, clear vesicle (dew drop) develops on top of the area of redness. This "dew drop on a rose petal" lesion is very characteristic for chickenpox. After about 8–12 hours the fluid in the vesicle gets cloudy and the vesicle breaks leaving a crust. The fluid is highly contagious, but once the lesion crusts over, it is not considered contagious. The crust usually falls off after 7 days sometimes leaving a crater-like scar. Although one lesion goes through this complete cycle in about 7 days, another hallmark of chickenpox is the fact that new lesions crop up every day for several days. Therefore, it may take about a week until new lesions stop appearing and existing lesions crust over. Children are not sent back to school until all lesions have crusted over.[3]
Second infections with chickenpox occur in immunocompetent individuals, but are uncommon. Such second infections are rarely severe. A soundly-based conjecture being carefully assessed in countries with low prevalence of chickenpox due to immunisation, low birth rates, and increased separation is that immunity has been reinforced by subclinical challenges and this is now less common. This is more dangerous with shingles. There have been reported cases of repeat infections.[4][5]Chickenpox is highly contagious and is spread through the air when infected people cough or sneeze, or through physical contact with fluid from lesions on the skin. Zoster, also known as shingles, is a reactivation of chickenpox and may also be a source of the virus for susceptible children and adults. It is not necessary to have physical contact with the infected person for the disease to spread. Those infected can spread chickenpox before they know they have the disease - even before any rash develops. In fact, people with chickenpox can infect others from about 2 days before the rash develops until ALL the sores have crusted over, usually 4-5 days after the rash starts.
2007-04-03 01:18:06
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answer #3
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answered by waldenwarlock 2
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Usually you"ll have a fever,chills general flu symptoms for a few days then break out with fluid filled blistersthat sometimes can be severe. They do itch but try not to scratch them cause they will scar. The best thing is to take aveeno oatmeal baths. It relieves itching
2007-04-03 02:02:52
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answer #4
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answered by carrie 4
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They may be few or many at first. They may come up as round blister-like sores. Very unpredictable. Scratching these things leave horrible scars. If a baby gets them, they can get them again later in life (about school age). I am thinking there is a vaccine against them. Good luck.
2007-04-03 01:20:16
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answer #5
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answered by Jan C 7
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dont know sorry. i was lucky enough to be bourn immune to chicken pox... my brothers and sister had them when we where kids if I remember they got a fever and had red itchy bumps all over them. but dont quote me on the fever part
2007-04-03 01:17:55
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answer #6
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answered by Brad L 3
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Elevated body temperature , Red itchy Spots , Throat and Mouth gets dry.
2007-04-03 01:19:31
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answer #7
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answered by Rocky 3
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It'll come on quickly... You'll wake up, have spots all over... STAY AWAY from all forms of light... lock yourself in your bedroom and keep the lights off.
You'll be good ;)
2007-04-03 01:17:21
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answer #8
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answered by daytonafun_tim 3
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lots of raised red bumps, itchyness, fever
2007-04-03 01:16:51
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answer #9
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answered by sales 2
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