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What Causes Red Blisters On Butt, Scrotum And Penis In Infants?
My 17 month old was diagnosed with strep throat 2 weeks ago with out astrep culture and based on a visual. He completed antibiotics last week and today I kept him home from day care because he was up all night fussy seemed to be in pain. At the Dr s today she said his throat is covered in sores and it looks like a virus she s been seeing lately. When I got home and took his shoes off he had a few blisters! I then examined the palms of his hands and he has 1 large blister there too. This morning I thought he had diaper rash from being in a wet diaper over night but now that I take a 2nd closer look he has red blisters on his butt, scrotum and penis. I m assuming he has what I ve heard of as HTMD... I didn t see it listed as occurring in the diaper area, is this normal? Should I put Cortaid on it??
Wed, 19 Oct 2022
Hello,
Hand-foot-and-mouth disease (HFMD) is an acute viral illness that presents as a vesicular eruption in the mouth, but it can also involve the hands, feet, buttocks, and/or genitalia. Signs and symptoms are sore mouth or throat, malaise, a fever of 38-39°C may be present for 24-48 hours, and lesions may also be found on the hands, feet, buttocks, and genitalia.
There is no antiviral agent specific for the etiologic agents of HFMD. Instead, the treatment is mainly supportive. Ensure adequate fluid intake to prevent dehydration; cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake.
Fever may be treated with antipyretics. Pain may be treated with standard doses of Acetaminophen or Ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. IVIG and milrinone have shown some efficacy. Local anesthetics like Lidocaine (Dermaflex) are used. Antihistamines like Benadryl are used. Please consult a pediatrician for prescription of drugs.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Hand-foot-and-mouth disease (HFMD) is an acute viral illness that presents as a vesicular eruption in the mouth, but it can also involve the hands, feet, buttocks, and/or genitalia. Signs and symptoms are sore mouth or throat, malaise, a fever of 38-39°C may be present for 24-48 hours, and lesions may also be found on the hands, feet, buttocks, and genitalia.
There is no antiviral agent specific for the etiologic agents of HFMD. Instead, the treatment is mainly supportive. Ensure adequate fluid intake to prevent dehydration; cold liquids are generally preferable. Spicy or acidic substances may cause discomfort. Intravenous hydration may be necessary if the patient has moderate-to-severe dehydration or if discomfort precludes oral intake.
Fever may be treated with antipyretics. Pain may be treated with standard doses of Acetaminophen or Ibuprofen. Direct analgesia may also be applied to the oral cavity via mouthwashes or sprays. IVIG and milrinone have shown some efficacy. Local anesthetics like Lidocaine (Dermaflex) are used. Antihistamines like Benadryl are used. Please consult a pediatrician for prescription of drugs.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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