Pediatric Viral Xanthems Flashcards
Fifth DZ
Erythema Infectiosum
bilateral lower extremities and may initially look petechial or urticarial prior to becoming classic palpable, non-blanching reddish-purple macules and patches. Heme positive stool
Henoch-Schönlein Purpura
“Second disease,” is caused by Group A Streptococcus
Scarlett Fever
Rubulavirus
Mumps
Newborn baby w/ sensorineural hearing loss, cataracts, hepatosplenomegaly and PDA
German Rubella
lacy rash that waxes and wanes over three weeks.
Erythema Infectiosum (fifth DZ)
Medication allergy that contraindicates admin. of the measles, mumps and rubella vaccine
Neomycin allergy. The vaccine has trace neomycin
Erythemtous sandpaper rash that is blanchable, begins on the face and spreads to the trunk and extremities.
Scarlett fever
prodromal symptoms such as fever and malaise before painful oral lesions
herpetic gingivostomatitis
Intussusception is a known complication
Henoch-Schönlein Purpura
Intraoral lesions are exquisitely painful, especially upon contact with salty or sour substances.
hand-foot-and-mouth disease
can cause a reduction in hematopoiesis resulting in a transient aplastic crisis in patients with chronic hemolytic anemia in Sickle Cell patients
Erythema Infectiosum (fifth DZ)
diffuse maculopapular rash that starts on the trunk which may spread to the face and extremities.
Roseola-6
rash typically starts at the hairline, with formation of macules which progress to fluid-filled vesicles (dew drops on a rose pedal)
Varicella
cough, coryza and conjunctivitis along with fever
Rubeola Koplick’s DZ (Measles)
Tx for scarlett fever
1st PCN VK. 2nd Macrolides
papulovesicular eruptions over arms, hands, legs, and feet. Refuses to eat or drink.
hand-foot-and-mouth disease
Circumoral pallor
Erythema Infectiosum (fifth DZ)
welling of salivary glands, most typically the parotid glands
Rubulavirus (Mumps)
Skin lesions appear over days in crops with multiple lesions of various stages
Varicella
Painful oral lesions first followed by non-specific Sx
hand-foot-and-mouth disease
Koplick spots
Rubeola (Measles)
Tx for hand-foot-and-mouth disease
some children will refuse to drink and require admission for intravenous hydration
Strawberry tongue + fever greater or equal to 5-days
Kawasaki’s DZ
Slapped-cheek appearance and no fever
Erythema Infectiosum (fifth DZ)
Crops of lesions typically appear at the same time with vesicles in various stages of healing
Varicella
IgA-mediated vasculitis.
Henoch-Schönlein Purpura
Tx for Kawasaki’s DZ
high dose aspirin (80 mg/kg/day) and IVIG.
fatigue, fever, pharyngitis, POSTERIOR cervical lymphadenopathy, and splenomegaly.
Epstein Barr virus (EBV)
Palpable purpura, heme positive stool
Henoch-Schönlein Purpura
Maculopapular rash begins on the face and spreads down the trunk and coalesces (comes together) then fades in a head-to-toe direction
Rubeola Koplick’s DZ (Measles)
simultaneous occurrence of low-grade fever and rash that starts on face and spread down to trunk.
German Rebuella “low fever and rash” DZ
Parovirus B19
Erythema Infectiosum (fifth DZ)
erythematous rash develops on the extremities and trunk in a lace-like pattern
Erythema Infectiosum (fifth DZ)
pinpoint gray spots with surrounding red inflammation
Rubeola Koplick’s DZ (Measles) - these are known as Koplick Spots
begins abruptly with a maculopapular or maculopapular exanthem that includes the palms and soles, as well as the extremities
hand-foot-and-mouth disease
Mononucleosis
Epstein Barr virus (EBV)
Posterior cervical lymphadenopathy prior to rash and low grade fever
German Rubella
Human Herpesvirus 6 (HHV-6)
Roseola-6: think so many H’s = high fever!
Coxsackie Virus
hand-foot-and-mouth disease
Bilateral conjunctival injection, strawberry tongue, injected cracked lips, polymorphous rash, cervical lymphadenopathy (1 or more greater than 1.5 cm)
Kawasaki’s DZ
high fever for 3–5 days, which ends abruptly and is followed by the onset of a diffuse fine maculopapular rash on the trunk which may spread to the face and extremities.
Roseola-6
Measles
Rubeola - remember this as Rubeola Koplick’s DZ
Child with low grade fever but doesn’t look sick. Has rash and posterior cervical lyphadenopathy
German Rubella
Tx for Henoch-Schönlein Purpura
Self-limiting. Bed rest, hydration, NSAIDs
teratogenic virus can be transmitted to the fetus through the placenta and is capable of causing serious congenital defects, abortions, and stillbirths
German Rubella
Hetrophil antibody test
Epstein Barr virus (EBV)
Significant lymphocytosis
Epstein Barr virus (EBV)
Pastia’s lines, which are accentuation of linear erythema in the skin folds.
Scarlett fever
non-blanching pinpoint macules on his ankles that appear slightly urticarial with joint pain
Henoch-Schönlein Purpura
Avoid contact sports due to splenomegaly
Epstein Barr virus (EBV)
Aplasitc Anemia
Erythema Infectiosum (fifth DZ)
Maculopapular rash after Tx with amoxicillin
Epstein Barr virus (EBV)