Herpangina(mouth blisters)

Herpangina: small vesicles(pain+) in palate

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                                 Herpangina

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1) Season: Summer

2) Age      :  infant and toddlers

3) Course of illness: fever and throat pain resolve few days or more longer.

4) Etiology: enteroviruses (coxsackie virus A or B, echoviruses)

Any questions:   write to Keiji Hagiwara, M.D.  

                                        Kami-Ube Pediatric Clinic, Ube 755-0097, Japan.

                                        keijihagiwara@gmail.com

Topical lotion for sweet rash

This drug has traditionally been prescribed in hospitals. But the number of children
with Miliaria have been decreasing, we have less chance for prescription.


Indications: sweat rash( Miliaria, prickly heat), heat rash, skin irritation and itching
Ingredients: Its main components are zinc oxide, phenol and diphenhydrazine(
                        anti-histamine).
　　1) Zinc oxide　　            30g 
　　2) liquid phenol　              5ml
　　3) Diphenhydrazine oil　 5g 
　　4) peppermint oil　         10ml
　　5) Ethanol 　　　           30ml
　　6) Glycerin                     100ml---------to 1,000 mL with sterile water 


Any questions:   write to Keiji Hagiwara, M.D.  
                                           Kami-Ube Pediatric Clinic, Ube 755-0097, Japan.
                                           keijihagiwara@gmail.com

Hydrangea(2)

紫陽花， Hydrangea

Hydrangea

 Hydrangea

Hydrangea is native to southern and eastern Asia (China, Japan, Korea, 

the Himalayas, and Indonesia) ,  North and South America. 

The leaf, bud and root of Hydrangea are toxic for human, cow and goat.
It contain toxic substances such as amygdalin, anthocyanin, cyanogenetic 
glycoside.



Any questions: write to   keijihagiwara@gmail.com
--------------------Keiji Hagiwara, MD
--------------------Kami-Ube Pediatric Clinic, Ube 755-0097, Japan.