The symptoms of papules in children are actually very obvious

Once infants and young children suffer from papular disease, symptoms will easily appear, mainly on the corresponding skin surface, so parents can easily notice it. Today we will introduce the main manifestations of this disease in detail, and I hope that parents will remember it.

1. The main manifestation of this disease is rash on the skin. The rash is spindle-shaped, edematous red papules. It starts as small granular papules and then develops into soybean to peanut size. Sometimes there are blisters in the center of the papules, and blood blisters can occasionally be seen. There is an obvious red halo around the rash. The rash often appears in batches, often on the back, limbs, and is clustered or scattered. The rash is extremely itchy and easily erodes after scratching, leading to secondary infection. The rash of a single lesion disappears in about 7-10 days, leaving light brown pigmentation. New lesions often occur continuously, so rashes of different stages can be seen on the skin of the same person.

2. According to TCM syndrome differentiation, if the rash appears in batches, the papules are red, hard like grains, there is obvious itching, the patient is crying and restless, the tip or edges of the tongue are red, or there is aversion to wind and fever, nasal congestion and runny nose, red and sore throat, and cough, it is a syndrome of wind-heat stagnation. If the rash is relatively large, with blisters on it, obvious itching and pain, yellow face and irritability, or mental fatigue, irregular bowel movements, yellow and red urine, loss of appetite, red tongue with yellow greasy coating, it is a syndrome of damp-heat stagnation. The disease has lasted for a long time, with recurrent rashes that are red and itchy, thirst and bad breath, occasional abdominal pain, dry and hard stools, teeth grinding at night, loss of appetite, and a red tongue with thick and greasy yellow coating. These are symptoms of stagnation and accumulation of heat.

3. Papular urticaria needs to be differentiated from varicella, the latter of which often occurs on the trunk, proximal limbs, head and face, and the oral mucosa is often involved. The lesions do not show wheal-like rashes, and no tension blisters occur. The patient may not feel itchy or feel mild itching, but often has systemic symptoms such as low-grade fever.