Diagnosis: Measles morbilliform rash
"This is the skin of a patient after 3 days of measles infection; treated at the New York - Presbyterian Hospital. Prior to widespread immunization, measles was common in childhood, with more than 90% of infants and children infected by age 12. Recently, fewer than 1,000 measles cases have been reported annually since 1993." Content [ ]
"This is the skin of a patient after 3 days of measles infection; treated at the New York - Presbyterian Hospital. Prior to widespread immunization, measles was common in childhood, with more than 90% of infants and children infected by age 12. Recently, fewer than 1,000 measles cases have been reported annually since 1993." Content Providers(s): CDC/Dr. Heinz F. Eichenwald
Prodrome of fever, cough, coryza, conjunctivitis. Koplik spots. Morbilliform rash starting on face and spreading downward. Vaccination history.
Supportive care. Vitamin A supplementation (WHO recommendation). Treat complications. Post-exposure prophylaxis: MMR vaccine within 72 hours or immunoglobulin within 6 days.
• Drug eruption • Rubella • Erythema infectiosum • Roseola • Scarlet fever • Kawasaki disease • Infectious mononucleosis with ampicillin rash
• Classic triad: cough, coryza, conjunctivitis (the 3 C's) preceding rash • Koplik spots: pathognomonic — white-blue papules on buccal mucosa opposite molars • Morbilliform (brick-red) rash starts on face, spreads cephalocaudally • Highly contagious — basic reproduction number (R0) of 12-18 • Complications: pneumonia (leading cause of death), encephalitis, SSPE (years later) • Immunosuppression during and after measles — increased susceptibility to secondary infections
Tags: measles