Flaking Palms And Legs Accompanied By Fever In Children?
Tonight, I want to ask, to my 3 children a few weeks ago the same pain, I thought the virus. Initially my first child was 6 years old, then 2-3 days later his younger siblings aged 3.5 and 2 years were also affected by the same illness, but according to the description of my child and the teacher who taught in his class, many students experienced the same pain. The initial symptoms of fever are rather high until around 3-4 days later red rash appears almost on the whole body accompanied by itching, but the eyes are not red, after day 7 the red rash begins to dry but the palms and feet peel like skin. After reading the article about my Kawasaki disease, I was worried because my children experienced rashes and skin peeling, but from my history, my husband and I never experienced the scythes. However, for other symptoms such as red eyes, tongue changes, swelling of the hands and feet are not experienced. I checked my child at the nearest midwife but said that it was okay. After symptoms of fever and rash experienced for 7 days, now my children are active as usual. But I’m still worried because it’s said that Kawasaki disease will have a heart attack. I beg for your input from the doctor. thanks.
Good evening, thanks for the question
Fever accompanied by a rash that quickly spreads to other sufferers accompanied by exfoliation after the rash starts to disappear is quite specific leading to morbilli or measles conditions.
Morbili is a disease caused by the Measles virus. Morbili is a very infectious disease and spreads quickly through the air through the activity of breathing, coughing, or sneezing.
Initial symptoms include fever, weakness, symptoms of the upper respiratory tract (runny nose, cough), and red eyes. On the fourth day of fever, usually a thick red rash that starts on the head of the frontal area of the forehead, behind the ears, and spreads down to the face, body, extremities, and reaches the feet on the third day. After the third day of the rash, the rash will slowly disappear in the order they appear, with a residual yellowish brown color and accompanied by mild exfoliation. The rash will disappear in 4-6 days.
Because the cause is a virus, enough supportive therapy is given by maintaining body fluids. Medications are given to reduce symptoms such as fever with paracetamol. In addition, vitamin A supplementation can also be given, ie children over 1 year 200,000 IU are given 2 doses.
While Kawasaki disease is a disease caused by inflammation of systemic blood vessels. Until now the exact cause is unknown, allegedly due to infection, toxins or immune system disorders. The diagnosis is made if there is a fever for more than 5 days, plus 4 out of 5 symptoms, namely inflammation of both conjunctival eyes, red or cracked mouth and throat mucosa, swelling and / or redness of the legs, skin rashes, and enlarged lymph nodes in the neck. This disease can indeed cause inflammation of the heart muscle and coronary artery walls so that it requires serious treatment. If not found most of the symptoms above are most likely not a condition of Kawasaki disease.
If you have doubts, please consult with a pediatrician, especially if the symptoms are still persistent.
That's all, hope you can help
Wassalam, Dr. Farah