|
|
| (43 intermediate revisions by 5 users not shown) |
| Line 1: |
Line 1: |
| ==Classic Diseases== | | ''This page is for pediatric patients; for other age groups see [[general approach to rashes]] and [[neonatal rashes]]'' |
| Measles-1st disease
| | ==Background== |
| | {{Skin anatomy background images}} |
| | {{Primary derm lesions names}} |
| | {{Rash red flags}} |
|
| |
|
| Scarlet fever- 2nd
| | ==Clinical Features== |
|
| |
|
| Rubella-3rd
| | ==Differential Diagnosis== |
| | {{Peds Rash DDX}} |
|
| |
|
| Dukes-4th
| | ==Evaluation== |
| | {{Pediatric rashes images}} |
|
| |
|
| Erythema infectiosom- 5th
| | ==Management== |
|
| |
|
| Exanthem subitum (roseola)- 6th
| | ==Disposition== |
|
| |
|
| ==Measels (Rubeola)== | | ==See Also== |
| -10-14days of incubation
| | *[[Neonatal Rashes]] |
| | *[[Rashes]] |
|
| |
|
| -Fever, Cough, Conjunctivitis(non-purulent), Coryza, usu. before rash
| | ==References== |
| | <references/> |
|
| |
|
| -Koplick spot's= pathognomonic, grains of salt on red background on buccal mucousa
| |
|
| |
|
| -Rash is "bucket of paint dumped on head"
| | [[Category:Pediatrics]] |
| | | [[Category:Dermatology]] |
| -Reddish brown on face & neck rather confluent spreads down trunk & extrems (less confluent) & generalized on 3rd day.
| | [[Category:Symptoms]] |
| | |
| -Fades on 5-6 day w/ brownish staining then desquamation.
| |
| | |
| -Etiology: Rubeola virus
| |
| | |
| ==Scarlet Fever==
| |
| -Incubation of 2-5days then...
| |
| | |
| -fever, HA, sore thrt, vomiting prodrome 12hrs before rash
| |
| | |
| -Erythematous, punctiform that blanches w/ pressure, starts on flexor areas then spreads to generalized in 24hrs.
| |
| | |
| -Forehead & cheeks smooth red flushed but circumoral pallor.
| |
| | |
| -See lesions most on neck, axilla, inguinal area, popliteal folds
| |
| | |
| -INVOLVES HANDS & FEET unlike measles
| |
| | |
| -Desquamation follows
| |
| | |
| -STRAWBERRY TONGUE IS PATHOGN.
| |
| | |
| -Etiol: Grp A strep.
| |
| | |
| -Rx= pcn for 10 days or bicillin IM x1
| |
| | |
| ==Rubella (German Measles)==
| |
| -Incubation 2-3wks
| |
| | |
| -NO PRODROME
| |
| | |
| -Rash often first, LYMPHADENOPATHY often asymptomatic in kids.
| |
| | |
| -Rash is pink starting on face/neck down to trunk & extrems faster than w/ measles, general in 24-48hrs.
| |
| | |
| -lesions discrete not confluent.
| |
| | |
| -By third day face clear only extrems. are involved (first to form, first to fade.
| |
| | |
| -NO desquamation.
| |
| | |
| -In contrast to measles will see confluent vs discreet.
| |
| | |
| -LYMPHAD. is PATHOGN. post-auricular, occipital, but can see in other diseases
| |
| | |
| -Etiology is Rubella virus.
| |
| | |
| ==Erythema Infectiosum (Fifth disease)==
| |
| -incubation 6-14days
| |
| | |
| -No prodrome often starts w/ rash.
| |
| | |
| -Starts w/ "slapped cheeks", then urticarial/morbilliform rash on extrems & trunk, w/ pruritis sometimes
| |
| | |
| -As rash fades gets reticular or lacey appearance. Can see this for one week or 8wks.
| |
| | |
| -Pathognomic is slapped cheeks in well-appearing child.
| |
| | |
| -Etiology is parvovirus B19
| |
| | |
| -if pregnant bad, can =fetal hydrops & death (2-6%), risk greatest 1st 1/2 of preg
| |
| | |
| ==Exanthem Subitum (Roseola)==
| |
| -Incubation of 5-15days
| |
| | |
| -Prodrome of 3-4 days of high fever & irritability, then rash as temp falls to normal
| |
| | |
| -Rash is rose-red maculopapules often appearing on chest & trunk first then face & extremities
| |
| | |
| -Eruption fades in 2 days/ several hrs
| |
| | |
| -Pathogen is rash as fever fades
| |
| | |
| -Etiology is HSV 6,7
| |
| | |
| ==Enteroviral Infections==
| |
| -ECHO virus & Coxsackie are common examples
| |
| | |
| -Incubation about 3-6d but variable in ECHO
| |
| | |
| -ECHO can see prodrome w/ fever but lower than roseola
| |
| | |
| -Rubella-like appearance of rash, w/ discrete maculopapular nonpruritic rash that is generalized.
| |
| | |
| -No desquamation, rarely w/ petechial lesions in ECHO & COXSACKIE A9 or B5
| |
| | |
| -Coxsackie A16 gives hand/foot/mouth disease.
| |
| | |
| ^^all rash ask is it discrete or confluent
| |
| | |
| ==Hand Foot Mouth Disease==
| |
| -brief prodrome w/ low fever, anorexia & ap
| |
| | |
| -oral lesions (macules to vesicles on red base to ulcers)
| |
| | |
| -lesions on soft & hard palate, gingiva
| |
| | |
| -usu on dorsal hands & lateral feet, frequently on buttocks
| |
| | |
| -pathognomonic= hand, feet & mouth
| |
| | |
| -d/t cox A16 & enterovirus 71
| |
| | |
| ==Varicella==
| |
| -Incubation 10-21 days (usu 14-16)
| |
| | |
| -vesicular eruption, 1st on trunk, scalp or face, later to ext, lesions in various stages of development, very pruritic
| |
| | |
| -pathognomonic= macules, papules, vesicles & crusts of diff stages
| |
| | |
| -d/t varicella zoster virus
| |
| | |
| -Contagious until the last lesion crusts over which is usually about 7-10 days into dz!!
| |
| | |
| | |
| ==Infectious Mononucleosis==
| |
| -abrupt or insidious, ha, fever & malaise common w/ st & lad to follow
| |
| | |
| -rash in 10-15% usu btwn 4th-6th day of illness
| |
| | |
| -red macular or maculopapular morbilliform rash of trunk & upper arms
| |
| | |
| -occ involves face, thigh & legs, periorbital & eyelid edema in 50% of cases
| |
| | |
| -pathognomonic= st, lad, splenomegaly, d/t EBV
| |
| | |
| ==HSP==
| |
| -palpable purpura in lower ext and buttocks
| |
| | |
| ==Drug Rash==
| |
| -sudden, usus morbilliform, often starts on face & trunk & spreads
| |
| | |
| ==Source==
| |
| Inkelis 7/04- By Lampe
| |
| | |
| [[Category:Peds]] | |
| [[Category:Derm]] | |
.png)
