Suggest treatment for small bumps on the hands of a child
Patient: hi my 6 year old has small hard bumps only on his right hand just above is thumb and towards his index finger and on the back of his hand, they don t itch. He has had them for about a week, we were on vacation in Mexico, he said he got stung by a bee while swimming in the pool, they don t appear to be fadng Doctor: Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days.This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth