Rashes with Fever

Question 1

What are viral causes for macular/maculopapular rashes?

Answer 1

Roseola infantum
Slapped cheek syndrome
Measles
Rubella

Question 2

What are bacterial causes for macular/maculopapular rashes?

Answer 2

Scarlet fever

Rheumatic fever

Question 3

What are other causes for macular/maculopapular rashes?

Answer 3

Kawasaki’s disease

Juvenile rheumatoid arthritis

Question 4

What are viral causes for vesicular/bullous/pustular rashes?

Answer 4

Herpes simplex
Varicella
Hand foot and mouth disease

Question 5

What are bacterial causes for vesicular/bullous/pustular rashes?

Answer 5

Boils

Impetigo

Question 6

What are other causes for vesicular/bullous/pustular rashes?

Answer 6

Erythema multiforme
TEN
SJS

Question 7

What are viral causes for petechial/purpuric rashes?

Answer 7

Enterovirus

Adenovirus

Question 8

What are bacterial causes for petechial/purpuric rashes?

Answer 8

Meningococcal

Infective endocarditis

Question 9

What are other causes for petechial/pustular rashes?

Answer 9

Henoch-Schonlein purpura

Thrombocytopenia

Question 10

What causes roseola infantum?

Answer 10

Human herpes virus 6

Question 11

What are the features of roseola infantum?

Answer 11

Fever + coryza followed by maculopapular rash

Cervical lymphadenopathy

Question 12

Where does the rash affect in roseola infantum?

Answer 12

Start on chest/back -> spreads to face, arms, legs

Question 13

What causes slapped cheek syndrome?

Answer 13

Parvovirus B19

Question 14

What is slapped cheek syndrome also known as?

Answer 14

Erythema infectiosum

Fifths disease

Question 15

What are the features of slapped cheek syndrome?

Answer 15

Mild prodrome

3 phases

• erythema on cheeks (2-4 days)
• erythematous macular rash on extensor surfaces
• rash fades leaving reticulated lacy pattern

Question 16

What causes scarlet fever?

Answer 16

Group A beta haemolytic strep

Question 17

What are the features of scarlet fever?

Answer 17

High fever
Sore throat
Bright red tongue
Pinkish rash - feels like sandpaper

Question 18

What is Kawasaki disease?

Answer 18

Medium sized vessel vasculitis

Question 19

What are the features of Kawasaki disease?

Answer 19

Persistent high fever >5 days

5 or more days with 4/5 of

• bilateral conjunctivitis
• polymorphous rash
• cervical lymphadenopathy
• strawberry togue
• skin peeling on hands and feet

Question 20

How is Kawasaki disease managed?

Answer 20

High dose aspirin
IV immunoglobulin

Follow up echocardiograms

Question 21

What is a complication of Kawasaki disease?

Answer 21

Coronary artery aneurysm

Question 22

What causes hand foot and mouth disease?

Answer 22

Coxsackie A16

Question 23

What age does hand foot and mouth disease affect?

Answer 23

Under 10

Question 24

What are the features of hand foot and mouth disease?

Answer 24

Stage 1
= fever
- cough
- sore throat

Stage 2

• red spots
• tongue/mouth
• become painful ulcers

Stage 3

• red spots
• hands and feet
• become blisters

Question 25

How is hand foot and mouth disease managed?

Answer 25

Symptomatic relief

Question 26

What is Henoch-Schonlein purpura?

Answer 26

IgA mediated vasculitis of small vessels of skin, GI tract, joints and kidneys

Question 27

What can trigger HSP?

Answer 27

URTI

Gastroenteritis

Question 28

What are the features of HSP?

Answer 28

Purpuric rash
Joint pain
Colicjy abdominal pain
Haematuria/proteinuria

Question 29

How is HSP investigated?

Answer 29

Bloods - FBC, U&Es, CRP
Blood cultures
Urine dipstick
BP

Question 30

How is HSP managed?

Answer 30

Supportive management