A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus
What disorder of the skin should the clinician who is assessing the child first suspect?
A) Varicella
B) Lichen planus
C) Rosacea
D) Impetigo.
Ans: A
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Varicella (chickenpox) begins with a macular stage that is characterized by the development of macules over the trunk, spreading to the limbs, buccal mucosa, scalp, axillae, upper respiratory tract, and conjunctiva. Mild to extreme pruritus accompanies the lesions, and clients are often mildly febrile. Impetigo manifests vesicles or pustules that are primarily on the face. Rosacea and lichen planus are chronic skin disorders of older persons.
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