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All about rashes
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2. Measles (or Rubeola)
Facts
- This was the most common cause of viral rash in children before 1963.
- Because of the widespread use of the vaccine, measles is far less common now, although it is starting to reappear more often again since the MMR worries.
- The virus is transmitted through direct contact with droplets from the infected person.
Symptoms
- If your child has measles, he or she will first appear very unwell. They will have some of the following:
- High fever for three to four days
- Chills
- Headache
- Red, sore eyes with thick discharge
- Persistent, hacking cough - Spots occur in the mouth and gums, and then a red rash appears on the scalp and face and behind the ears.
- The rash then spreads downwards until it reaches the feet.
- It then fades in the same order as it appeared.
Treatment
- The most important thing you can do for a child with measles is give supportive treatment such as Paracetamol. Any secondary bacterial infections would need specific - prescribed antibiotic therapy. Encephalitis would need hospitalisation for supportive treatments.
- The severe complications of measles can be devastating. These include:
- Encephalitis (a meningitis-type infection)
- Hearing loss
- Mental retardation
- Seizure disorders
3. Scarlet fever
Facts
- It is a disease of bacterial origin caused by a toxin (chemical) produced by group A streptococci.
- The only difference between strep throat, which is common, and scarlet fever is that the latter is accompanied by a rash.
- The incubation period is 1-7 days after exposure.
Symptoms
- The disease is often characterised by an abrupt onset of fever, headache, sore throat and vomiting.
- With scarlet fever, the tongue has a characteristic appearance: bright red and studded with prominent bumps (also called strawberry tongue).
- The face is usually flushed but often pale around the mouth area.
- A rough, sandpaper-like rash often develops, especially on the inner elbows, chest and inner thighs. The rash lasts about four days.
- The diagnosis is usually made with a positive throat culture, after a swab, and the characteristic appearing rash.
Treatment
- This disease is usually treated with an antibiotic - just like strep throat.
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