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Rash usually does not itch but may be raised and swollen. Rash is usually raised on the face and "egins on face and nec#; s$reads slowly downward, eventually reaching the legs and feet "y the % th day '-( days rash is "rownish color, with occasional $eeling a$$earance. Many infections are so mild they are unrecognised 3erious concerns to $regnant women as it may cause
Rash usually does not itch but may be raised and swollen. Rash is usually raised on the face and "egins on face and nec#; s$reads slowly downward, eventually reaching the legs and feet "y the % th day '-( days rash is "rownish color, with occasional $eeling a$$earance. Many infections are so mild they are unrecognised 3erious concerns to $regnant women as it may cause
Rash usually does not itch but may be raised and swollen. Rash is usually raised on the face and "egins on face and nec#; s$reads slowly downward, eventually reaching the legs and feet "y the % th day '-( days rash is "rownish color, with occasional $eeling a$$earance. Many infections are so mild they are unrecognised 3erious concerns to $regnant women as it may cause
Measles (10 day or hard measles) 3-4 days of fever higher that 101F; red, watery eyes which are very sensitive to light; cough, runny nose, tired !ed, raised, "lotchy rash which "egins on face and nec#; s$reads slowly downward, eventually reaching the legs and feet "y the % th day &y '-( days rash is "rownish color, with occasional $eeling a$$earance )ighly contagious, air"orne s$read *hite s$ots can a$$ear in the mouth, on the inside of the chee#s !ash usually does not itch + ,mmuni-ation for $revention very im$ortant !u"ella (3 day or .erman measles) /hildren may have few or no early signs 0dults1 1-' days of low-grade fever, headache, 2oint $ains, runny nose, tired, red, watery eyes 3wollen glands in nec# or "ehind ears 4in# to red rash, "eginning on head or nec# and s$reads downward, fades and disa$$ears in 3 days 5o $eeling a$$earance Many infections are so mild they are unrecogni-ed 3erious concerns to $regnant women as it may cause "irth defects, therefore + ,mmuni-ation for $revention very im$ortant /hic#en $o6 (7aricella 8oster virus) .enerally low- grade fever for 1-3 days, loss of a$$etite, headache 9arly rash a$$ears li#e insect "ites, random sites, $rogresses to red, raised lesions with a small "lister in center 5ew lesions a$$ear daily for several days 0ll stages of rash can a$$ear at the same time :esions usually crust and sca" within '-10 days :esions can a$$ear on the scal$, in the mouth, ears, genital regions and arm$its ;isease is s$read "y dro$lets in the air and "y contact with the watery "listers 3carlet Fever 1-3 days feeling very tired, sore throat, fever, and vomiting Fine, "right, red rash that "riefly turns white if you $ress on it Most $rominent on nec#, in arm$its, groin, or folds in the s#in :ight $eeling of s#in on hands and feet 3and$a$ery, rough feel to the rash Face can "e flushed (red) with white ring around the mouth; tongue can swell and "ecome coated with a <straw"erry= a$$earance +!elationshi$ of scarlet fever and rheumatic heart disease in untreated cases +>reatment with anti"iotics Fifth?s ;isease (4arvovirus &1@) &rief, nons$ecific illness consisting of fever, malaise, myalgias, and headache Aften s$reads in e$idemics among children !ed, flushed chee#s, reddened face with white ring around the mouth, red lace- li#e rash on trun# and e6tremities :asting %-@ days 3unlight ma#es rash worse Face has <sla$$ed chee#= a$$earance May fade and recur for few wee#s !oseola 3-' days of fever over 100BF, can have runny nose, tired 3udden, raised, smooth rash, which disa$$ears in C4 to 4D hrs 3tarts on trun#, can "ecome total "ody rash !ash follows the fever .enerally, mild illness 9nteroviral !ash eg /o6sac#ie virus, )and, Foot and Mouth 3udden onset of fever to 103B 3ore throat, cold-li#e sym$toms, headache, tired, nausea, vomiting, diarrhea !ed, raised rash, most on trun# and face, may a$$ear on $alms and soles !ash may a$$ear with "listers in mouth, fluid filled "um$s on hands, feet !ash lasts 1-10 days 3everal different disease syndromes may "e $resent E common in children is )and, Foot and Mouth disease 7irus shed in stool, good handwashing im$ortantF Differential Diagnosis of Rash Illness Page DISEASE SIGN/SYMPTOMS TYPE OF RASH OTHER FEATURES ,m$etigo !ash a$$ears as little $in si-ed <$im$les= "ut evolves Guic#ly into ma2or s#in eru$tions filled with $us &egins as $in si-ed "listers that "rea#, allowing the discharge to s$read on the s#in surface, causing s#in "rea#down *hite or yellow crust form at the sites, can cover large areas if untreated /hildren often have this rash around the mouth $articularly under the nose and chin ,m$etigo <itches= )andwashing im$ortant >reatment with anti"iotics +)eat !ash+ (4ric#ly heat) Aften a$$ears in moist s#in folds of legs, arms, H nec#; also at waistline and on "uttoc#s &ands or reddened areas or $atches of reddened areas )eat rash is a result of hot, humid weather conditions and the s#in contact with itself, dia$ers or clothing Most often associated with $lastic dia$er $ants or dis$osa"le dia$er $lastic irritating the s#in surface and increasing stimulus of sweat glands ;ia$er !ash !eddened s#in on "uttoc#s, or <dia$er area= as a result of irritation or infection from stool, urine or $rolonged s#in contact with $lastic dia$ering materials ;evelo$s in moist areas !ash can "e generali-ed reddened s#in surface, evolving to "listered a$$earance and s#in "rea#down, with inflamed, moist and "leeding $atches >his rash causes discomfort and $ain < ;ia$er rash= can "e caused "y $rolonged contact with soiled dia$ers; however, some viral or fungal organisms may cause sores and "listering a$$earance ;rug or food reaction Accasionally fever, red, runny eyes, sores in the mouth, genital regions, and asthma li#e sym$toms to e6treme difficulty "reathing !ash may a$$ear as raised s#in areas li#e <welts= or as <hives= in a cluster ,tching usually $resent !ash may a$$ear Guic#ly, may "e isolated areas to a com$lete "ody rash ;iscuss introduction of medicines or new foods to $revent further illness /an a$$ear Guic#ly and "e serious (>his rash a$$ears for no other a$$arent reason) 3mall$o6 Fever for C-4 days "efore rash, e6tremely ill !ash starts with small "um$s on face and u$$er arms, then s$reads over the whole "ody, more concentrated on e6tremities and face >he lesions "ecome "listered, then filled with $us, then sca" over !ash is most often confused with early chic#en$o6 Fever and severe illness for several days "efore rash onset suggests small$o6 and not chic#en$o6