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Chickenpox, Impetigo Or Hand, Foot And Mouth: How To Spot Distinction

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May 28, 2026
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Chickenpox, Impetigo Or Hand, Foot And Mouth: How To Spot Distinction
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This text options skilled recommendation from Dr Bisola Laguda, a paediatric dermatologist and spokesperson for the Pores and skin Well being Alliance.

With children now getting further safety towards chickenpox as a part of their routine childhood immunisations, it’s hoped fewer children will find yourself scuffling with the worst results of the sickness.

That mentioned, children may nonetheless catch it – albeit a milder model – and people who aren’t vaccinated towards it (both as a result of they’re too younger or their dad and mom opted out) can even be in danger.

However recognizing chickenpox could be difficult, particularly because the telltale signal is a rash – and different childhood sicknesses like impetigo and hand, foot and mouth can look fairly comparable.

To attempt to get some readability on how one can inform it other than different sicknesses, which is essential so you understand how to deal with it (and the way lengthy they’ll want off faculty or childcare), we spoke to Dr Bisola Laguda, a paediatric dermatologist and spokesperson for the Pores and skin Well being Alliance.

What are the indicators of chickenpox dad and mom must know?

Chickenpox is a really contagious an infection brought on by the varicella zoster virus. Information signifies that half of kids will contract chickenpox by the age of 4, and 90% by the age of 10.

Youngsters may initially expertise flu-like signs, corresponding to a excessive temperature and feeling sick and/or achy, mentioned Dr Laguda.

“When the rash does manifest, it’ll be within the type of small crimson spots that blister and might turn out to be very itchy,” she mentioned.

“These spots can seem in clusters wherever on the physique, however are generally discovered on the arms, legs, chest and abdomen, in addition to the face, scalp and ears.”

It’s value allowing for that new spots can seem round three to 5 days after the preliminary rash begins, too.

After a day or two, the blisters start to burst and dry out, “with the crusting pores and skin naturally falling off inside two weeks”.

The dermatologist famous that while chickenpox could cause a number of frustration and upset, youngsters’s signs will typically resolve themselves naturally.

But when the pores and skin across the blisters turns into sizzling, crimson or painful; the blisters themselves get contaminated; or your baby develops different signs corresponding to dehydration, chest ache, or problem respiratory, she mentioned it’s greatest to contact your GP.

By no means give ibuprofen to children with chickenpox (except instructed to by a physician). Pharmacists can present antihistamine medication to attempt to ease any itching, whereas paracetamol will help with ache or discomfort.

How does chickenpox differ at hand, foot and mouth illness?

Hand, foot and mouth illness (HFMD) is one other disagreeable sickness children have a tendency to choose up within the early years.

The primary stage of signs sometimes includes a sore throat, excessive temperature and never eager to eat. Just a few days later, children develop a raised rash of spots and/or mouth ulcers.

There are some key distinctions that may assist dad and mom inform the 2 viral infections aside, mentioned Dr Laguda.

“Each manifest in rashes, however seem on completely different areas of the physique and have visible discrepancies,” she defined.

“The place chickenpox can seem wherever, HFMD rash patterns are mostly discovered on the palms of the arms, soles of the ft and contained in the mouth – although it’s true that we’re seeing extra instances of HFMD across the face and genitalia, so value keeping track of these areas too.

“Additionally, chickenpox rashes seem as small, itchy blisters, whereas HFMD is often characterised by flat, crimson spots.”

The sickness often will get higher by itself. If signs don’t go after seven to 10 days, converse to your GP.

And the way does it differ from impetigo?

Impetigo is one other contagious sickness you most likely received’t have heard of till your children get it (I definitely hadn’t).

The pores and skin an infection begins off as crimson sores or blisters, which may then burst leaving crusty, virtually cornflake-like golden brown patches. These could be itchy and/or painful.

Dr Laguda mentioned it’s “essential to have the ability to distinguish chickenpox from impetigo”.

“Whereas impetigo is a bacterial an infection and chickenpox is viral, each could cause itchy, blistery rashes. Nonetheless, the place chickenpox rashes are fluid-filled blisters doubtlessly discovered throughout your entire physique, impetigo seems as yellow-ish, crusty patches across the nostril, mouth and limbs.

“It’s value noting impetigo can develop secondary to chickenpox if blisters turn out to be contaminated after being scratched.”

Remedy sometimes includes hydrogen peroxide cream or antibiotic cream/tablets, so a visit to the pharmacist or your GP is warranted.



Tags: ChickenpoxDifferencefootHandImpetigoMouthspot
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