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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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4 Year Old With Painful Rashes On The Face, Body And Arm. Herpes? Precautions?

Hello Doctor,My 4 yr old son has got sm rash on his face on sunday mrng.On monday i hv noticed some more rash on his body & and arm.he has all d rash in d left side(left eyes,left side of lip,left arm & on left side of body down d underarm)& d nose.by monday afternoon i hv noticed vry small blisters on that rash area.i took him to doctor in d evening.doctor has given phenargan & anthical lotion and said wait for 2 days,if rash increase than dr is gng to chg d medicine.dr said these rashes look like harpies.my son does not has fever,but he is saying pain on d rash area at the time of touch.can u pls guide me a little bit wht to do?i hv rd on net that harpies is not curable.i'm not getting how this much small baby can get this disease.wht precautions required.how to get rid of d disease.
Mon, 6 May 2013
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Pediatrician, Cardiology 's  Response
Hello
Thanks for the query

The type of rashes and the area involved with typical complain of pain suggests this is Herpes zoster. You have mentioned that eye is also involved, so proper care of eye is must as Herpes zoster ophthalmicus is a known complication which can also effect the vision.
Your physician has advised you syp phenargan and anthical lotion, both will help in relieving pain and itching.
This is a self limiting condition and management includes prevention of complications like eye involvement, secondary bacterial infection.It is not uncurable disease.
Use of antiviral drug within 72 hrs of onset of rashes reduces the severity but no effect on long term outcome.
Another complication is postherpetic neuralgia which can be found in less than 10% cases and even less common in children.
Get an immune profile done for your child as it is common in immunodeficient child.
So I would suggest you to consult an ophthalmologist also for proper eye examination and care and follow the advice of your physician as these skin lesion usually resolves on its own.
Maintain hygiene to prevent bacterial infection and get an immune profile done to rule out immunodeficiency.
With regards

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4 Year Old With Painful Rashes On The Face, Body And Arm. Herpes? Precautions?

Hello Thanks for the query The type of rashes and the area involved with typical complain of pain suggests this is Herpes zoster. You have mentioned that eye is also involved, so proper care of eye is must as Herpes zoster ophthalmicus is a known complication which can also effect the vision. Your physician has advised you syp phenargan and anthical lotion, both will help in relieving pain and itching. This is a self limiting condition and management includes prevention of complications like eye involvement, secondary bacterial infection.It is not uncurable disease. Use of antiviral drug within 72 hrs of onset of rashes reduces the severity but no effect on long term outcome. Another complication is postherpetic neuralgia which can be found in less than 10% cases and even less common in children. Get an immune profile done for your child as it is common in immunodeficient child. So I would suggest you to consult an ophthalmologist also for proper eye examination and care and follow the advice of your physician as these skin lesion usually resolves on its own. Maintain hygiene to prevent bacterial infection and get an immune profile done to rule out immunodeficiency. With regards