Generalized vesicular rash in a child: a case of chickenpox (Varicella): a rare clinical image
Shardul Timande, Bibin Kurian
Corresponding author: Shardul Timande, Department of Child Health Nursing, Smt Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Higher education and research, Wardha, Maharashtra, India 
Received: 14 Oct 2025 - Accepted: 04 Nov 2025 - Published: 18 Dec 2025
Domain: Nursing education,Public Health Nursing,Pediatrics (general)
Keywords: Chickenpox, varicella, healing without scar, vesicles and pustules, conservative management
Funding: This work received no specific grant from any funding agency in the public, commercial, or non-profit sectors.
©Shardul Timande et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Shardul Timande et al. Generalized vesicular rash in a child: a case of chickenpox (Varicella): a rare clinical image. Pan African Medical Journal. 2025;52:169. [doi: 10.11604/pamj.2025.52.169.49768]
Available online at: https://www.panafrican-med-journal.com//content/article/52/169/full
Images in clinical medicine 
Generalized vesicular rash in a child: a case of chickenpox (Varicella): a rare clinical image
Generalized vesicular rash in a child: a case of chickenpox (Varicella): a rare clinical image
&Corresponding author
A 10-year-old male child presented with a generalized vesicular rash for 4 days, associated with fever, itching, and malaise. There was no history of recent vaccination or contact with a known case of varicella. On examination, the child had multiple lesions in various stages of evolution macules, papules, vesicles, pustules, and crusts distributed over the face, trunk, and extremities, with a characteristic “dew drop on rose petal” appearance. No neurological or respiratory complications were noted. The patient was managed conservatively with antipyretics, calamine lotion, oral antihistamines, and adequate hydration. Acyclovir was not indicated as the illness was mild and the child was immunocompetent. The lesions healed with no scarring after 10 days.
Figure 1: generalized vesicular rash in a child
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