Professional Documents
Culture Documents
Objectives
Definition
Exanthem
Enanthem
- An eruption of the mucous membrane
Papule- elevated
<1cm
Plaque- similar to
papule, >1cm,
flat and broad
Nodule- similar to
papule, >1cm,
round
Bullaesimilar to
vesicle,
>1cm
Wheal (hive)edematous
papules and
plaques
CASE
ID: Chloe, 12 month old baby
girl
CC: High grade fever and
seizure
HPI
1 day PTA
HPI
stiffening of extremities
PE: unremarkable
COURSE AT THE
WARDS
COURSE AT THE
WARDS
fever disappeared
playful
After 12 hours
COURSE AT THE
WARDS
2nd HD
COURSE AT THE
WARDS
absence of fever
non-repetition of seizure
disappearance of rash
improved well-being
DISCHARGED!
RUBELLA
Rubella
Epidemiology
Clinical Manifestation
Exanthem
Enanthem
Tiny rose-colored
lesions on the
oropharynx or
petechial
haemorrhages on the
soft palate and uvula
(Forchheimer spots)20%
Clinical Course
Evaluation
Treatment
No specific treatment
Supportive care
MEASLES
Synonyms: Rubeola
Pathogenesis
Incubation (8-12 days)
Prodromal illness
Viral shedding
Exenthematous Phase
Antibody production
Epidemiology
Clinical Manifestation
Koplik Spots
Clinical Manifestation
Exanthem
Clinical Manifestation
Evaluation
Complications
Management
Supportive
ERYTHEMA
INFECTIOSUM
Pathogenesis
Epidemiology
Clinical
Manifestations
Prodrome: low grade fever, headache, malaise,
Exanthem: 3 stages
Exanthem
Clinical
Manifestations
Evaluation
Treatment
Supportive therapy
Varicella
Synonyms: Chickenpox
Etiology: VZV
Pathogenesis
Epidemiology
Clinical
Manifestations
Exanthem
Clinical
Manifestations
Evaluation
Treatment
Oral Acyclovir
Treatment
Complications
ROSEOLA INFANTUM
Pathogenesis
Epidemiology
Clinical
Manifestations
Exanthem
Enanthem
Evaluation
Treatment
Supportive care
Maintain hydration
Antipyretics
Complications
Viral
Syndrome
Rubeola
Rubella
Varicella
Erythema
Infectiosum
Associated
signs and
Epidemiology
symptom
Causative
Virus
Exanthem/
Enanthem
Measles
Erythematous macules
and papules; spread
from head down. White
erosions on buccal
mucosa (Koplik spots)
Rubella
VZV
Generalized pruritic
macules, papules that
rapidly progress to
Any age, MC; 10-14
vesicles (clear to cloudy years old
fluid) which then
ulcerates, crust and heal.
Significant pruritus
Parvovirus
B19
Erythematous slapped
cheeks, followed by
Any age, MC: 4-10 years
reticulate erythema on
old
body.
Erythematous macules
3C (cough, coryza,
conjunctivitis)
Desquamation