Red Rashes of Childhood

Question 1

Rubella virus

Answer 1

Associated syndrome/disease: Rubella
Clinical presentation:
Rash begins at head and moves down; fine truncal rash; postauricular lymphadenopathy

Question 2

Measles virus

Answer 2

Associated syndrome/disease: Measles
Clinical presentation:
A paramyxovirus; beginning at head and moving down; rash is preceded by cough, coryza, conjunctivitis, and blue-white (Koplik) spots on buccal mucosa

Question 3

VZV

Answer 3

Associated syndrome/disease: Chickenpox
Clinical presentation:
Vesicular rash begins on trunk; spreads to face and extremities with lesions of different age

Question 4

HHV-6

Answer 4

Associated syndrome/disease: Roseola
Clinical presentation:
A macular rash over body appears after several days of high fever; can present with febrile seizures; usually affects infants

Question 5

Parovirus B19

Answer 5

Associated syndrome/disease: Erythema Infectiosum
Clinical presentation:
“Slapped cheek” rash on face (can cause hydrops fetalis in pregnant women)

Question 6

Streptococcus pyogenes

Answer 6

Associated syndrome/disease: Sacrlet fever
Clinical presentation:
Erythematous, sandpaper-like rash with fever and sore throat

Question 7

Coxsackievirus type A

Answer 7

Associated syndrome/disease: Hand-foot-mouth disease
Clinical presentation:
Vesicular rash on palms and soles; ulcers in oral mucosa