Saturday, March 24, 2012

RED RASHES OF CHILDHOOD

RED RASHES OF CHILDHOOD[1]

         Agent
      Associated Syndrome/Disease
Clinical Presentation
Rubella virus
German measles
Rash begins at head and moves dwon, postauricular lymphoadenopathy.
Measles virus
Rubeola, measles
A paramyxovirus, beginning at head and moving dwon; rash is preceded by cough, coryza, conjuntivitis, and blue-white spots on oral mucosa (Koplik).
Mumps virus
Mumps
A paramyxovirus, no rash but can present with parotitis, meningitis, orchitis or oophoritis( in young adults).
VZV
chickenpox
Rash begins on trunk, spread to face and extremities with lessions of different age.
HHV-6
Roseola
A macular rash over body appears after several days of high fever, usually affect infants.
Parvovirus B19
Erythema infectiosum
“Slapped cheek” rash on face later appears over body in reticular, “lace-like” patter (can cause hydrops fetalis in pregnant women).
Streptococcus pyogenes
Scarlet fever
Erythematous, sandpaper-like rash with fever and sorethroat.
Coxsackievirus type A
Hand-foot-mouth disease
Vesicular rash on palms and soles, ulcers in oral mucosa




[1] (Le, Bhushan, Tolles, & Hofmann, 2011)

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