Chapter 163 :: Exanthematous Viral Diseases Flashcards
nonpruritic, erythematous macules and papules progressing in a cranial-to-caudal direction
Measles virus
pathognomonic enanthem of measles and develop during the prodrome
found on the buccal mucosa near the second molars
occur 48 hours prior to the onset of the rash and only last 12 to 72 hours
Koplik spots
Measles
Differential Diagnosis of Measles Most Likely
■ Drug hypersensitivity reaction
■ Rubella
Second line treatment for Measles
Ribavirin
Postexposure prophylaxis for measles
In healthy individuals, the measlesmumps-rubella (MMR) vaccine should be given to boost immunity if it can be administered within 72 hours of measles exposure
characterized by low-grade fever, myalgia, headache, conjunctivitis, rhinitis, cough, sore throat, and lymphadenopathy
pruritic pink to red macules and papules that begin on the face, quickly progressing to involve neck, trunk, and extremities
Primary rubella infection
congenital infection include growth retardation, interstitial pneumonitis, radiolucent bone disease, hepatosplenomegaly, thrombocytopenia, and dermal erythropoiesis (“blueberry muffin lesions”)
CONGENITAL RUBELLA SYNDROME
primary manifestation of B19 viral infection in adults
Acute arthropathy
Treatment for uncomplicated infectious mononucleosis
symptomatic
useful in treating the fever or throat discomfort
acyclovir is not routinely used in the management of EBV infection
abrupt onset of symmetrically distributed, monomorphous papules or papulovesicles on the face, extensor surface of extremities, and buttocks
preceded by malaise, pharyngitis, low-grade fever, and lymphadenopathy (typically cervical, axillary, or inguinal)
GCS
development of “rose”-colored macules and papules measuring 2 to 5 mm and surrounded by a white halo
EXANTHEM SUBITUM
HHV-6
development of a vesicular eruption on the palms and soles
football-shaped” erosions surrounded by an erythematous halo
HFMD
coxsackievirus A6 (CVA6)
ATYPICAL HANDFOOTMOUTH DISEASE
