Fever and Rash - Centrally Distributed Maculopapular Eruptions Flashcards

1
Q

Name the condition with the ff rash:

Discrete lesions that become confluent as
rash spreads from hairline downward, usually
sparing palms and soles; lasts ≥3 days

A

Rubeola

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2
Q

Name the condition with the ff rash:

Eschar common at bite site; maculopapular
(rarely, vesicular and petechial) eruption on
proximal extremities, spreading to trunk
and face

A

Rickettsial spotted fevers

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3
Q

Name the condition with the ff rash:

Spreads from hairline downward, clearing
as it spreads; Forschheimer spots

A

Rubella

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4
Q

Name the condition with the ff rash:

Diffuse maculopapular eruption over trunk
and neck; resolves within 2

A

Exanthem Subitum/ Roseola/ Sixth Disease

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5
Q

Name the condition with the ff rash:

Bright-red “slapped-cheeks” appearance
followed by lacy reticular rash that waxes
and wanes over 3 weeks; rarely, papularpurpuric
“gloves-and-socks” syndrome on
hands and feet

A

Erythema infectiosum

fifth disease

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6
Q

Name the condition with the ff rash:

Diffuse maculopapular eruption (5% of
cases; 90% if ampicillin is given); urticaria,
petechiae in some cases; periorbital edema
(50%); palatal petechiae (25%)

A

Infectious

mononucleosis

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7
Q

Name the condition with the ff rash:

Intensely pruritic, bright-red macules and
papules, symmetric on trunk and extremities;
may become confluent

A

Exanthematous drug induced

eruption

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8
Q

Name the condition with the ff rash:

Nonspecific diffuse macules and papules;
less commonly, urticarial or vesicular oral or
genital ulcers

A

Primary HIV infection

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9
Q

Name the condition with the ff rash:

Maculopapular eruption appearing in
axillae, spreading to trunk and later to
extremities; usually spares face, palms, soles;
evolves from blanchable macules to confluent
eruption with petechiae; rash evanescent
in recrudescent typhus (Brill-Zinsser
disease)

A

Epidemic typhus

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10
Q

Name the condition with the ff rash:

Maculopapular eruption, usually sparing
palms, soles

A

Endemic (murine)

typhus

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11
Q

Name the condition with the ff rash:

Diffuse macular rash starting on trunk;
eschar at site of mite bite

A

Scrub typhus

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12
Q

Name the condition with the ff rash:

Maculopapular eruption involving the
trunk, extremities, and head or neck; rash in
20–50% of cases

A

West Nile fever

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13
Q

Name the condition with the ff rash:

disease Transient 2- to 5-mm erythematous papules
appearing at height of fever on trunk, proximal
extremities; lesions evanescent

A

Still’s disease

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14
Q

Name the condition with the ff rash:

Blotchy or annular erythematous macular
and papular rash (trypanid), primarily on
trunk; pruritus; chancre at site of tsetse fly
bite may precede rash by several weeks

A

African

trypanosomiasis

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15
Q

Name the condition with the ff rash:

Macular and papular erythema, often in
sun-exposed areas; discoid lupus lesions
(local atrophy, scale, pigmentary changes);
periungual telangiectasis; malar rash; vasculitis
sometimes causing urticaria, palpable
purpura; oral erosions in some cases

A

SLE

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16
Q

Name the condition with the ff rash:

Maculopapular eruption (40% of cases),
involves trunk and extremities; may be
petechial

A

Human monocytotropic

ehrlichiosisc

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17
Q

Name the condition with the ff rash:

Maculopapular eruption; conjunctivitis;
scleral hemorrhage in some cases

A

Leptospirosis

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18
Q

Name the condition with the ff rash:

Similar to erythema migrans of Lyme
disease with several differences, including:
multiple secondary lesions less likely;
lesions tending to be smaller (average
diameter, ~8 cm); central clearing more
likely
A

Southern tick-associated
rash illness (STARI,
Master’s disease)

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19
Q

Name the condition with the ff rash:

Papule expanding to erythematous annular
lesion with central clearing (erythema
migrans; average diameter, 15 cm), sometimes
with concentric rings, sometimes
with indurated or vesicular center; multiple
secondary erythema migrans lesions in
some cases

A

Lyme disease

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20
Q

Name the condition with the ff rash:

Erythematous annular papules and plaques
occurring as polycyclic lesions in waves
over trunk, proximal extremities; evolving
and resolving within hours

A

Erythema marginatum

rheumatic fever

21
Q

Name the condition with the ff rash:

Central rash at end of febrile episode;
petechiae in some cases

A

Relapsing fever

22
Q

Name the condition with the ff rash:

Eschar at bite site; then blotchy violaceous
or red-brown rash involving trunk and
extremities

A

Rat-bite fever (sodoku)

23
Q

Name the condition with the ff rash:

Rash in 50% of cases; initially diffuse flushing;
midway through illness, onset of
maculopapular rash, which begins on trunk
and spreads centrifugally to extremities and
face; pruritus, hyperesthesia in some cases;
after defervescence, petechiae on extremities
in some cases

A

Dengue fever

24
Q

Name the condition with the ff rash:

Transient, blanchable erythematous macules
and papules, 2–4 mm, usually on trunk
rose spots

A

Typhoid fever

25
Q

Name the etiologic agent of the ff disease:

Rubeola (measles, first
disease

A

Paramyxovirus

26
Q

Rubella (German measles,

third disease)

A

Togavirus

27
Q

Erythema infectiosum

fifth disease

A

Human parvovirus

B19

28
Q

Exanthem subitum

roseola, sixth disease

A

Human herpesvirus

6

29
Q

Primary HIV infection

A

HIV

30
Q

Infectious

mononucleosis

A

Epstein-Barr virus

31
Q

Exanthematous druginduced

eruption

A

antibiotics,
anticonvulsants,
diuretics, etc.

32
Q

Epidemic typhus

A

Rickettsia prowazekii

33
Q

Endemic (murine)

typhus

A

Rickettsia typhi

34
Q

Scrub typhus

A

Orientia tsutsugamushi

35
Q

Human monocytotropic

ehrlichiosisc

A

Ehrlichia chaffeensis

36
Q

Leptospirosis

A

Leptospira interrogans

37
Q

Lyme disease

A

Borrelia burgdorferi

38
Q

Southern tick-associated
rash illness (STARI,
Master’s disease)

A

Unknown (possibly
Borrelia lonestari or
other Borrelia spirochetes)

39
Q

Typhoid fever

A

Salmonella typhi

40
Q

Dengue fever

A

Dengue virus
(4 serotypes;
flaviviruses)

41
Q

Rat-bite fever (sodoku)

A

Spirillum minus

42
Q

Relapsing fever

A

Borrelia species

43
Q

Erythema marginatum

rheumatic fever

A

Group A

Streptococcus

44
Q

Systemic lupus

erythematosus (SLE)

A

Systemic lupus

erythematosus (SLE)

45
Q

Still’s disease

A

Autoimmune disease

46
Q

African

trypanosomiasis

A

Trypanosoma brucei
rhodesiense/
gambiense

47
Q

Arcanobacterial

pharyngitis

A

Arcanobacterium
(Corynebacterium)
haemolyticum

48
Q

West Nile fever

A

West Nile virus