Roseola differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Line 9: | Line 9: | ||
*Roseola, also known as HHV-6 must be differentiated from all other childhood diseases that cause rash, and fever. The following table summarizes the differential diagnosis for roseola. | *Roseola, also known as HHV-6 must be differentiated from all other childhood diseases that cause rash, and fever. The following table summarizes the differential diagnosis for roseola. | ||
{| class="wikitable" | |||
!Condition | |||
!Classic clinical features | |||
|- | |||
|Roseola | |||
|Exanthem; | |||
* Appears as the fever disappears, | |||
* Starts on the neck and trunk and spreads to the extremities. | |||
Enanthem; | |||
* Macules or ulcers at the uvulopalatoglossal junction aka Nagayama spots. | |||
|- | |||
|Rubella (German measles) | |||
|Exanthem; | |||
* Appears at the same time as the low grade fever, | |||
* Begins on face and spreads down the whole body within 24 hours. | |||
Enanthem; | |||
* Pinpoint petechiae on the soft palate aka Forchheimmer spots. | |||
|- | |||
|Rubeola (Measles) | |||
|Prodrome; | |||
* Cough, | |||
* Coryza, | |||
* Koplik spots. | |||
Exanthem; | |||
* Begins on face and spreads down body. | |||
* Erthematous lesions begins as small macules which enlarge and coalesce. | |||
Enanthem; | |||
* 1-3mm whitish, grayish or bluish spotswith an erythematous base seen in the buccal mucosa aka koplik spots. | |||
|- | |||
|Enteroviral Infection | |||
(e.g Hand, foot and mouth disease) | |||
|Epidemiology; | |||
* Occurs in epidemics in spring, summer and fall. | |||
Exanthem; | |||
* Macular, maculopapular or vesicular, | |||
* Typically involves hands, feet, legs, buttocks and mouth. | |||
Enanthem; | |||
* Oral ulcers. | |||
|- | |||
|Erythema infectiosum | |||
|Prodrome; | |||
* Minimal/non-specific symptoms( fever, headache, nausea, diarrhea). | |||
Exanthem; | |||
* Starts as prominent rashes on the cheeks, | |||
* Blanching erythema on the trunk and feet may occur. | |||
|- | |||
|Scarlet fever | |||
|Exanthem; | |||
* Diffuse erythematous sand paper like rash preceeded by pharyngiitis, | |||
* Followed by a confluent petechiae, | |||
* desquamationn and even frank peeling of the skin occurs following resolution of the eruption. | |||
Enanthem; | |||
* Strawberry tongue | |||
|- | |||
|Drug allergy | |||
|Exanthem; | |||
* Often begins in dependent areas before generalising | |||
* Includes macules, papues, vesicles and petechiae | |||
|} |
Revision as of 17:24, 23 May 2017
Roseola Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Roseola differential diagnosis On the Web |
American Roentgen Ray Society Images of Roseola differential diagnosis |
Risk calculators and risk factors for Roseola differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Differential diagnosis
- Roseola, also known as HHV-6 must be differentiated from all other childhood diseases that cause rash, and fever. The following table summarizes the differential diagnosis for roseola.
Condition | Classic clinical features |
---|---|
Roseola | Exanthem;
Enanthem;
|
Rubella (German measles) | Exanthem;
Enanthem;
|
Rubeola (Measles) | Prodrome;
Exanthem;
Enanthem;
|
Enteroviral Infection
(e.g Hand, foot and mouth disease) |
Epidemiology;
Exanthem;
Enanthem;
|
Erythema infectiosum | Prodrome;
Exanthem;
|
Scarlet fever | Exanthem;
Enanthem;
|
Drug allergy | Exanthem;
|