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Kami D MS III SGU Pediatrics Clerkship Woodhull Medical & Mental Health Center 4/20/12
Complications:
-Arthropathy in children and adults. -Congenital infections associated with hydrops and death
-Aplastic crisis may be percipitated in children with high RBC turnover (eg. Sickle Cell Anemia, hereditary spherocytosis) or in those with decreased RBC production (eg. Severe Iron Deficiency Anemia)
The child shown in the image presents with a 3 day history of malaise, fever to 41.1 (106 F), cough, coryza and conjuctivitis. He then develops the erythematous, maculopapular rash pictured. He is noted to have white pinpoint lesions on a bright red buccal mucosa in the area opposite his lower molars. Which of the following is the most likely diagnosis?
Measles Rubeola
Causative Virus: Paramyxovirus
Measles Rubeola
Rash: Erythematous Maculopapular Spreads from head to toe Common Complications: Otitis media Pneumonia Laryngotracheitis Rarely, subacute sclerosing panencephalitis
A 14 year old girl awakens with a mild sore throat, low grade fever, and diffuse maculopapular rash. During the next 24 hours, she develops tender swelling of her wrists and redness of her eyes. In addition, her physician notes mild tenderness and marked swelling of her posterior cervical and occipital lymph nodes. Four days after the onset of her illness, the rash has vanished. Which of the following is the most likely diagnosis?
A) B) C) D) E)
Rash:
Erythematous Tender Maculopapular Head to toe
A 11 month old boy has had a fever of 103-104 F for 4 days and was seen in the ED because of febrile seizures. He had no vomiting, did not look sick and his neurologic examination was normal. The only finding at the time was a small suboccipital lymph nodes. No workup was done. Three days later, the childs fever has resolved, but now he has a maculopapular rash.
Hand-Foot-and-Mouth Disease
Causative Virus: Coxsackie A Prodrome: Fever, anorexia, oral pain. Rash: Oral Ulcers Maculopapular vesicular rash on hangs and feet and sometimes on the buttocks