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Pediatrics General Considerations - Infectious Diseases 0a324e0d

All of the following are true about Chickenpox except:

A
Incubation period can range from 10-21 days.
B
Subclinical varicella is rare
C
Simultaneous presence of lesions in various stages of evolution is characteristic
D
Umbilicated vesicles are the earliest lesions to appear
High-Yield Explanation
d. Umbilicated vesicles are the earliest lesions to appear(Ref: Nelson 20/e p1580-1581)Initial exanthem in Chicken pox consists of pruritic erythematous macules that evolve through papular stage to form clear, fluid- filled vesicles. Clouding & umbilication of the lesions begin in 24-48 hr.Simultaneous presence of lesions in various stages of evolution is characteristic of varicella.Distribution of rash is predominantly centripetal with greatest concentration on trunk.

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