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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever Followed By Spots Appearing All Over Body?

Hi I have an 8 year old boy that has been vaccinated with a bolis dose for chickenpox. My wife took him to our pedestrian because he had a low grade fever 101 for 3 days then woke up with about 50 red dots on his face. He has a sore throat with blisters. The pediatricians weren t sure if it is hand foot and mouth. Or chickenpox. In the last two days he now has some blisters on his hands and feet. And spots are spreading to his body. They couldn t give us an answer what he has. Out dermatologist dosnt want us to bring him in because worry of contagion. I would like to know what he has so I can treat it. Took strep test. No strep. Thank you. Scott
Mon, 8 Dec 2014
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Pediatrician, Pulmonology ,  's  Response
Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days.
This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.
Regards - Dr. Sumanth
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What Causes Fever Followed By Spots Appearing All Over Body?

Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards - Dr. Sumanth