Scribd
Upload
142 views

Fever With Rash in Table Form.

This document discusses various diseases that can present with fever and rash, including their characteristic rashes and symptoms. It provides descriptions of rashes seen in dengue, chickenpox, systemic JIA, rubella, measles, scarlet fever, Kawasaki disease, meningococcemia, and leukemia. Specific details are given about the appearance and progression of rashes in chickenpox, rubella, scarlet fever, measles, and Kawasaki disease. Complications are also mentioned for some conditions.

Uploaded by

Azizan Hanny
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
142 views

Fever With Rash in Table Form.

This document discusses various diseases that can present with fever and rash, including their characteristic rashes and symptoms. It provides descriptions of rashes seen in dengue, chickenpox, systemic JIA, rubella, measles, scarlet fever, Kawasaki disease, meningococcemia, and leukemia. Specific details are given about the appearance and progression of rashes in chickenpox, rubella, scarlet fever, measles, and Kawasaki disease. Complications are also mentioned for some conditions.

Uploaded by

Azizan Hanny
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Fever with rash

Regarding the discussion on: 'fever and rash', let's share the knowledge. =)

a) Blanchable rash - due to vasodilation


b) Non blanchable rash - due to extravasation of bleed

DDx for fever and rash :


1) Dengue
2) Chicken Pox
3) Systemic JIA
4) Rubella
5) Measles
6) Meningococcemia rash
7) Scarlet fever
8) Kawasaki Disease
9) ITP
10) Leukemia ·

Palpable :

Papule - <0.5cm
Nodule - >0.5cm
Plaque - flat-topped, >1cm
Wheal - area of dermal edema (any
size), pale and compressible

Macule - flat, non palpale; in the


plane of skin; <1cm
Patch - Macule >1cm

Image : Macuolopapular rash -


raised and discolored cicumscribed
lesion

Vesicle - fluid filled blister; <0.5cm


Bulla - fluid filled blister >0.5cm

Pustule - collection of pus <1cm


Abscess - localized collection of pus in
a cavity >1cm

Chicken Pox (Primary varicella


zoster infection)

1) Fever - at time of rash


2) Rash
- comes in crops of papules,
vesicles at different times for up to
7 days.
- small erythematous macules →
papules → vesicles → crusting
- vesicular stage of rash : itchiest
- rash is usually absent on palms
and soles

** any new lesions after 10 days


suggest defective cellular immunity

Rubella (German Measles)


1) Rash
- generalized maculopapular rash
- discrete pale pink
- starts on face and neck → trunk and extremities
- usually fades on third day : NO
staining/desquamation
- not itchy in children

2) Lymphadenopathy - suboccipital, postauricular


3) Fever - absent or low grade.

Treatment - symptomatic treatment


Prevention - immunization

Scarlet Fever :

Prodromal symptoms for about 2 days before onset of


rash.

1) Characteristic of rash
- starting from neck and generalizes rapidly : more
prominent on neck, axillae, groin, skinfolds
- absent or sparse on face, palms and soles
- dry and rough texture → skin feels like fine sandpaper
- blanches on pressure
- *** Rash lasts about 5 days, and followed by fine
desquamation of rash.

2) Facial finding : flushing with circumoral pallor


3) Tongue :
~ Day 1-2 : classic appearance of white strawberry
tongue (heavily coated with white membrane,
protruding edematous red papillae)
~ Day 4-5 : red strawberry tongue (membrane sloughs
off, shiny red tongue with prominent papillae)
Measles :

1) Fever
- typically the first sign → high grade
- classical triad of 3C's : conjunctivits,
coryza and cough

2) Rash
- typically: 2-4 days after onset of fever
and lasts 3-5 days
- Koplik spots : D2 fever; white spots
on buccal mucosa; pathognomic but
difficult to see
- Rash D3 of fever;
immunocompromised patients may not
develop rash
- Pattern of rash : Ears → whole body
- Characteristic : maculopapular rash →
blotchy and confluent, may desquamate
in 2nd week.

Complications of measles
a) respiratory : pneumonia,
b) neurological : enxephalitis, subacute
sclerosing panencephalitis (SSPE)
c) otitis media
d) etc

Kawasaki disease :

1) Fever - >5 days.


2) Criteria :
- Conjunctival infection
- mucus membrane changes -
pharyngeal injection; red, dry and
cracked lips, strawberry tongue
- cervical lymphadenopathy
- rash - polymorphous
- extremities - red and edematous
palms, soles; after resolution there
is peeling of fingers and toes

Complications :
Cardiac **
a) pericardial effusion
b) myocardial disease
c) endocardial disease
d) coronary disease with aneurysm
formation ***
Meningococcal Rash :

- starts anywhere on the body and


then spread
- may or may not be present with
meningococcal meningitis
- characteristics :
a) non blanchable
b) irregular size and outline
c) necrotic center

Systemic JIA
Persistent joint swelling of >6 weeks
duration with absence of infection or
any other defined course; onset before
16 years old.

Rash pattern
- salmon colored, macular and non
itchy
- distribution : over trunk and
extremities, transient lesions.

You might also like