Chicken pox

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1. Course

    1. Low grade fever

    2. Papules ⇒ vesicles ⇒ pustules ⇒ crust formation

    3. lasting about 1 week

2. No use of

    1. Aspirin ⇒ Ray syndrome

    2. Ibuprofen ⇒ Toxic shock syndrome

3. Treatment

    1. Elixir diphenhydramine 12.5mg/5cc #1 2.5cc tds

    2. Syrup hydroxyzine 10mg/5cc #1 5cc bid

    3. Susp acetaminophen 120mg/5cc w/2cc qid #1

    4. Daily bath

    5. If:

        1. Age >12y/o

        2. immunodeficiency

        3. corticosteroids use

        4. pulmocutaneous lesions

        5. Long-term salicylate use

            1. Tab acyclovir 400 mg 2 tab q6h (20mg/kg/day, max dose 800 mg q6h for 5 days)

                1. or tab valacyclovir 1000 mg tds (20mg/kg/day)