Skin Changes in Disease Flashcards
Rash seen in measles
brick red, irregular, maculopapular rash that appears 3-4 days after onset of prodrome; begins on the face and proceeds down and out
Measles prodrome
fever, cough, coryza, conjunctivitis
Pathognomic skin change of measles
koplik spots on buccal mucosa
Characteristic rash in erythema infectiosum
fiery red “slapped cheek” appearance, circumoral pallor, lacy rash on trunk
Parvovirus is one of the most common causes of what disease in childhood?
myocarditis
Parvo B19 sxs in women
can mimic SLE, RA, systemic sclerosis, vasculitis, etc.
Ehrlichiosis
rickettsial infection common in Missouri; sxs include fever, chills, HA, malaise, myalgia, N/V, anorexia, abdominal pain, calf pain, edema of dorsal hands
Characteristic rash of ehrlichiosis
erythematous macules or papules, petechiae, or diffuse erythema that begins approx 5 days after onset of systemic symptoms
Systemic manifestations of Ehrlichiosis
resp (cough, dyspnea, adult RDS), neuro (meningoencephalitis, AMS), renal failure, DIC, pericarditis
Characteristic rash of Lyme Disease
erythema migrans, flat or slightly raised red lesion that expands with central clearing
Stage 1 Lyme disease
flat or slightly raised red lesion at bite site about one week after bite; concomitant viral-like illness develops
Stage 2 Lyme disease
bacteremia, lesions similar to primary lesion but smaller; malaise, fatigue, fever, HA, neck pain, neuro manifestations
Stage 3 Lyme disease
MSK manifestations, monoarticular or oligoarticular, neuro manifestations, acrodermatitis chronicum atrophicans
Infectious mononucleosis sxs
malaise, fever, sore throat, palatal petechiae, LAD, splenomegaly, maculopopular rash
Complications of infections mono
hepatitis, myocarditis, neuropathy, encephalitis, airway obstruction, thrombocytopenia
Two major clinical stages of syphilis
early and late, separated by latency period
Early syphilis skin changes
chancre, secondary lesion involving skin and mucous membranes
Late syphilis skin changes
gummatous lesions involving skin, bones, viscera
Skin and mucous membrane changes in secondary syphilis
diffuse, macuar, papular, pustular, condyloma lata, painless/silvery ulcerations in mucous membrane
Constitutional symptoms of secondary syphilis
low-grade fever, malaise, anorexia, arthralgias, myalgias
Clinical findings Hand-foot-and-mouth disease
stomatitis, vesicular rash on hands and feet, nail dystrophies
Clinical findings herpangina
sudden-onset fevers, HA, myalgias, petechiae or papules on soft palate that ulcerate and then heal
Characteristic skin change of HFMD
vesicular eruption on palms and soles; bright pink macules that progress to vesicles with erythema; may form yellow to gray erosions
Coxsackivirus complications
epidemic pleurodynia, aseptic meningitis, acute pericarditis
