Viral Exanthems

Question 1

How does roseola present? What is the cause?

Answer 1

Blanching macular or papular rash, particularly on the trunk that follows 3-5 days after an acute febrile illness

Human herpes virus 6 (less commonly 7)

Question 2

How is roseola managed?

Answer 2

Supportive: rest, panadol, fluids

Question 3

How does slapped cheek present? What is the cause?

Answer 3

coryzal/headache prodrome followed by rash on cheek and erythematous lacy rash mainly on limb extensors and spares the soles and palms

Coxsackie virus A16

Question 4

How is slapped cheek managed?

Answer 4

Supportive

Exclude from school
Monitor for rare complications - Myocarditis, arthritis

Question 5

How does hand, foot, and mouth disease present? What is the cause?

Answer 5

Pustules on hands, feet, and buttock, and oral vesicles and ulcers resolves after 3 days. May be accompanied by low grade fever, poor appetite, and sore throat
Mustly

Question 6

How is H/F/M disease Mx?

Answer 6

Isolate (highly infectious, spread by nasal and oral secretions)
Supportive therapy