Chapter 163 - Exanthematous Viral Diseases Flashcards
TABLE 163-15
Viral Infections with Characteristic Exanthems
Etiologic agent of Measles (Rubeola)
Paramyxoviridae
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Viral Infections with Characteristic Exanthems
Etiologic agent of Rubella (3-day measles; German measles)
Togaviridae
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Viral Infections with Characteristic Exanthems
Etiologic agent of Erythema Infectiosum (fifth disease)
Parvovirus B19
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Viral Infections with Characteristic Exanthems
Etiologic agent of Epstein-Barr infection
Epstein-Barr viruses 1 and 2 (human herpesvirus 4)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Etiologic agent of Human cytomegalovirus
Cytomegalovirus (human herpesvirus-5)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Etiologic agent of Exanthem subitum (roseola infantum, sixth disease)
Human herpesvirus-6
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Viral Infections with Characteristic Exanthems
Etiologic agent of Hand-foot-mouth disease
Coxsackievirus A16 and Enterovirus 71
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Viral Infections with Characteristic Exanthems
Etiologic agent of Atypical hand-foot mouth disease
Coxsackievirus A6
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Viral Infections with Characteristic Exanthems
Etiologic agent of Eruptive pseudoangiomatosis
Echovirus 25, echovirus 32
TABLE 163-15
Viral Infections with Characteristic Exanthems
Nonpruritic, erythematous macules and papules with craniocaudal spread
Measles (Rubeola)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Pruritic pink to red macules and papules on the face, progressing to neck, trunk, and extremities
Rubella (3-day measles; German measles)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Confluent, erythematous, edematous plaques on malar eminence (slapped cheek); lesions may recur for weeks or months
Erythema Infectiosum (fifth disease)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Itchy, painful, symmetric edema and erythema of the distal hands and feet with abrupt demarcation at the wrists and ankles
Papular purpuric gloves-and-socks syndrome
TABLE 163-15
Viral Infections with Characteristic Exanthems
“Ampicillin rash” in individuals treated with antibiotics; Gianotti Crosti syndrome; erythema multiforme, leukocytoclastic vasculitis, erythema nodosum, erythema annulare centrifugum, pityriasis lichenoides, granuloma annulare, cold urticaria
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Symmetrical monomorphic papules or papulovesicles on the face, extensors, and buttocks
Gianotti-Crosti syndrome (popular acrodermatitis of childhood; infantile popular acrodermatitis)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Erythema nodosum, morbilliform eruption similar to ampicillin rash of Epstein-Barr virus infection; urticaria
Human cytomegalovirus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Rose-colored macules and papules surrounded by a white halo over the neck and trunk
Exanthem subitum (roseola infantum, sixth disease)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Vesicular eruption of the palms and soles, with “football-shaped” erosions surrounded by an erythematous halo
Hand-foot-mouth disease
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Viral Infections with Characteristic Exanthems
Papulovesicles, vesicles, and erosions of the palms, soles, extremities, and perioral; oral mucosa less frequently involved
Atypical hand-foot mouth disease
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Viral Infections with Characteristic Exanthems
Small papules resembling angiomas on the face and extremities
Eruptive pseudoangiomatosis
TABLE 163-15
Viral Infections with Characteristic Exanthems
Pinpoint pink papules with pale halo localized to large flexural region; unilateral and asymmetric distribution; pruritus
Unilateral thoracic exanthema (symmetric periflexural exanthema of childhood)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Fever, malaise, conjunctivitis, coryza, cough, Koplik spots
Measles (Rubeola)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Low-grade fever, myalgia, headache, conjunctivitis, rhinitis, cough, sore throat, lymphadenopathy; Forchheimer spots
Rubella (3-day measles; German measles)
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Viral Infections with Characteristic Exanthems
Erythema of the tongue, pharynx and red macules on the buccal mucosa and palate; acute arthropathy in adults
Erythema Infectiosum
(fifth disease)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Fatigue, low-grade fever, myalgia and arthralgia; enanthem on the lips, soft palate and buccal mucosa
Papular purpuric gloves-and-socks syndrome
TABLE 163-15
Viral Infections with Characteristic Exanthems
Fever, lymphadenopathy and pharyngitis (Infectious mononucleosis); acute genital ulcers (Lipschütz ulcers) with associated inguinal lymphadenopathy; neoplastic conditions
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Malaise, pharyngitis, low-grade fever, and lymphadenopathy
Gianotti-Crosti syndrome (popular acrodermatitis of childhood; infantile popular acrodermatitis)
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Viral Infections with Characteristic Exanthems
Infectious mononucleosis–like symptoms
Human cytomegalovirus
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Viral Infections with Characteristic Exanthems
High fever, irritability, rhinorrhea, and diarrhea; palpebral edema; Nagayama spots
Exanthem subitum (roseola infantum, sixth disease)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Low-grade fever, malaise, abdominal pain or upper respiratory tract symptoms, sore throat or sore mouth; oral erosions of the tongue, buccal mucosa, hard palate, and oropharynx
Hand-foot-mouth disease
TABLE 163-15
Viral Infections with Characteristic Exanthems
Fever, sore throat, headache, cough, and diarrhea
Atypical hand-foot mouth disease
TABLE 163-15
Viral Infections with Characteristic Exanthems
Fever, malaise, headache, diarrhea, and respiratory complaints
Eruptive pseudoangiomatosis
TABLE 163-15
Viral Infections with Characteristic Exanthems
Mild upper respiratory tract, low-grade fever or GI symptoms
Unilateral thoracic exanthema (symmetric periflexural exanthema of childhood)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Slapped cheek
Erythema Infectiosum
(fifth disease)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Ampicillin rash
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Gianotti-Crosti syndrome
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
“football-shaped” erosions
Hand-foot-mouth disease
TABLE 163-15
Viral Infections with Characteristic Exanthems
Koplik spots
Measles (Rubeola)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Forchheimer spots
Rubella (3-day measles; German measles)
TABLE 163-15
Viral Infections with Characteristic Exanthems
Infectious mononucleosis
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Lipschütz ulcers
Epstein-Barr virus
TABLE 163-15
Viral Infections with Characteristic Exanthems
Nagayama spots
Exanthem subitum (roseola infantum, sixth disease)