Rashes Islamic University Nursing College

Chicken-pox 1-Chicken-pox, Varicella zoster virus 2-Crops of vesicles mainly on the trunk and head. -Pass through various stages of papule, vesicle, pustule and crust. 3-Symptomatic :analgesia – paracetamol for discomfort and pyrexia. -pruritis – antihistamine or calamine lotion - acyclovir only for those at risk of complications or immunocompromised.

Chicken-pox

Impetigo 1-Staph areus and streptococcal pyogenes 2-Thin–roofed vesicles or bullae surrounded by narrow margin of erythema. The vesicles /bullae rupture to release thin cloudy yellow fluid. This fluid dries to form thick yellow crusts. 3-topical-bactroban(mupirocin) ointment/betadine cream - antibiotics – flucloxacillin or erythromycin

SLIDE 2 Impetigo

Erythema Multiforme Steven-Johnson Syndrome (mucous membrane (involvement 1-Drug most commonly associated-Allopurinol55 Recent drugs- Nevirapine, lamotrigine, sertraline, pantoprazole, tramadol Antibiotics- Sulphonamides, including co-trimoxazole, penicillin cephalosporins, fluoroquinolones, vancomycin NSAIDs- Piroxicam, fenbufen, ibuprofen, ketoprofen, naproxen, tenoxicam, diclofenac, sulindac Anti-TB- Rifampicin, ethambutol, isoniazid, pyrazinamide Anticonvulsants- Barbiturates, carbamazepine, phenytoin, valproate, lamotrigine - Infective herpes simplex 2-target lesion –round,erythematous papules contain central blister or darker area of necrosis

Erythema Multiforme

Scabies 1-Mite –sarcoptes scabeii 2 -Clothes, towels, and bed linen should be machine- washed (at 50 degrees Celsius or above) to prevent re- infestation and transmission. Items that cannot be washed can be kept in plastic bags for at least 72 hours to contain the mites until they die. -benzyl benzoate lotion,apply for 24hours,may be repeated in 1 week -permethrin cream Antiscabial soap alone is not an effective treatment Babies <2 months -5% sulphur ointment

Scabies

1- Measles 2-Single stranded RNA Morbillivirus from the paramyxovirus family. 3- Symptoms Prodrome - lasts 2-4 days with fever, runny nose, mild conjunctivitis and diarrhoea. Koplik spots are pathognomic and appear on the buccal mucosa opposite the second molar teeth as small, red spots each with a bluish-white speck (sometimes compared to a grain of rice) in the centre.6 They occur in 60-70% of patients during the prodrome and for up to 2-3 days before the onset of the rash.6 Rash - (morbilliform = measles-like) first seen on forehead and neck and spreads, involves trunk and finally limbs over 3-4 days. It may become confluent in some areas. Rash then fades after 3-4 days in the order of its appearance. It leaves behind a brownish discoloration sometimes accompanied by fine desquamation. 4-Uncomplicated measles is usually self-limiting and treatment is mainly symptomatic with paracetamol or ibuprofen and plenty of fluids. Patients should remain at home to limit disease spread. It is a notifyable disease

Measles