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FEVER WITH
RASH IN
CHILDREN
RUBEOLA
7 – 14 days after a measles infection:
first symptoms show
The classic symptoms include a four-
day fever (the 4 D's) and the three C's—
cough, coryza (head cold, fever,
sneezing), and conjunctivitis (red
eyes)—along with a maculopapular
rash
2-3 days after symptoms begin: Koplik
spots
Koplik spots are
small white spots
that are commonly
seen on the inside of
the cheeks opposite
the molars.They
appear as "grains of
salt on a reddish
background.
3-5 days after symptoms begin measles
rash appear
• The measles rash appears two to four days
after the initial symptoms and lasts for up to
eight days.
• appear on the face at the hairline and spread
downward to the neck, trunk, arms, legs, and
feet.
• When the rash appears, a person’s fever may
spike to more than 104° Fahrenheit.
• Rash is itchy.
•The rash is said to "stain", changing color
from red to dark brown, before
disappearing.
•measles usually resolves after about three
weeks
•Rash disappear in the same pattern as it
appears.
•Fever subsides as rash reaches to legs and
feet.
Rubella( german
measles)
• Rubella, also known as German measles or
three-day measles
• A rash may start around two weeks after
exposure and last for three days.
• It usually starts on the face and spreads to the
rest of the body just like measles.
• The rash is sometimes itchy and is not as
bright as that of measles.
• Swollen lymph nodes are common and may
last a few weeks
• Low grade continuous fever.
Forchheimer spots
These are small, red spots
(petechiae) on the soft palate
in 20% of patients with
rubella. They precede or
accompany the skin rash of
rubella (German measles) .
They are not diagnostic of
rubella, as similar spots can
be seen in measles and scarlet
fever
Roseola
• It is caused by human herpesvirus 6 (HHV-6A,
HHV-6B) or human herpesvirus 7 (HHV-7)
• Roseola classically presents with two phases:
fever and rash
• The virus begins with a 3-6 day febrile illness.
During this time, temperatures can peak above
40 °C and children can experience increased
irritability with general malaise
• Once the febrile phase subsides, a rash
develops. In some cases, the rash can present
after one or two days after the fever resolves
• The rash is classically described as an
erythematous morbilliform exanthem and
presents as a distribution of soft pink, discrete,
and slightly raised lesions of 2-5mm diameter.
• It classically begins on the trunk (torso) and
spreads outward to the neck, extremities, and
face. This pattern is referred to as a centrifugal
spread.
• Usually, no peeling and itching.
• This phase can last from several hours to 2
days
Fever with rash in children

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Fever with rash in children

  • 3. 7 – 14 days after a measles infection: first symptoms show The classic symptoms include a four- day fever (the 4 D's) and the three C's— cough, coryza (head cold, fever, sneezing), and conjunctivitis (red eyes)—along with a maculopapular rash
  • 4. 2-3 days after symptoms begin: Koplik spots Koplik spots are small white spots that are commonly seen on the inside of the cheeks opposite the molars.They appear as "grains of salt on a reddish background.
  • 5. 3-5 days after symptoms begin measles rash appear
  • 6. • The measles rash appears two to four days after the initial symptoms and lasts for up to eight days. • appear on the face at the hairline and spread downward to the neck, trunk, arms, legs, and feet. • When the rash appears, a person’s fever may spike to more than 104° Fahrenheit. • Rash is itchy.
  • 7. •The rash is said to "stain", changing color from red to dark brown, before disappearing. •measles usually resolves after about three weeks •Rash disappear in the same pattern as it appears. •Fever subsides as rash reaches to legs and feet.
  • 9. • Rubella, also known as German measles or three-day measles • A rash may start around two weeks after exposure and last for three days. • It usually starts on the face and spreads to the rest of the body just like measles. • The rash is sometimes itchy and is not as bright as that of measles. • Swollen lymph nodes are common and may last a few weeks • Low grade continuous fever.
  • 10. Forchheimer spots These are small, red spots (petechiae) on the soft palate in 20% of patients with rubella. They precede or accompany the skin rash of rubella (German measles) . They are not diagnostic of rubella, as similar spots can be seen in measles and scarlet fever
  • 12. • It is caused by human herpesvirus 6 (HHV-6A, HHV-6B) or human herpesvirus 7 (HHV-7) • Roseola classically presents with two phases: fever and rash • The virus begins with a 3-6 day febrile illness. During this time, temperatures can peak above 40 °C and children can experience increased irritability with general malaise • Once the febrile phase subsides, a rash develops. In some cases, the rash can present after one or two days after the fever resolves
  • 13. • The rash is classically described as an erythematous morbilliform exanthem and presents as a distribution of soft pink, discrete, and slightly raised lesions of 2-5mm diameter. • It classically begins on the trunk (torso) and spreads outward to the neck, extremities, and face. This pattern is referred to as a centrifugal spread. • Usually, no peeling and itching. • This phase can last from several hours to 2 days