Roseola infantum: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
ClaireLewis (talk | contribs) |
||
| Line 5: | Line 5: | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Roseola on a 21-month-old girl.jpg|thumb|Roseola on a 21-month-old girl]] | [[File:Roseola on a 21-month-old girl.jpg|thumb|Roseola on a 21-month-old girl]] | ||
*3-5d prodrome of high fever → then defervescence → then rash for 1-2d | *3-5d prodrome of high [[fever]] → then defervescence → then rash for 1-2d | ||
*[[Rash]] - erythematous macular eruption of discrete, pink lesions | *[[Rash]] - erythematous macular eruption of discrete, pink lesions | ||
**Mostly on neck, trunk, buttocks | **Mostly on neck, trunk, buttocks | ||
**No mucus membrane involvement | **No mucus membrane involvement | ||
*Lymphadenopathy often present | *[[Lymphadenopathy]] often present | ||
*Often erythematous tympanic membranes | *Often erythematous tympanic membranes | ||
*May have sterile pyuria | *May have sterile pyuria | ||
Revision as of 22:42, 15 September 2019
Background
- Also known as Exanthem Subitum
- Likely caused by HHV-6
Clinical Features
- 3-5d prodrome of high fever → then defervescence → then rash for 1-2d
- Rash - erythematous macular eruption of discrete, pink lesions
- Mostly on neck, trunk, buttocks
- No mucus membrane involvement
- Lymphadenopathy often present
- Often erythematous tympanic membranes
- May have sterile pyuria
Differential Diagnosis
Pediatric Rash
- Atopic dermatitis
- Bed bugs
- Contact dermatitis
- Drug rash
- Erythema infectiosum (Fifth disease)
- Hand-foot-and-mouth disease
- Henoch-schonlein purpura (HSP)
- Herpangina
- Herpes simplex virus (HSV)
- Infectious mononucleosis
- Meningitis
- Measles
- Molluscum contagiosum
- Roseola infantum
- Rubella (German measles)
- Scabies
- Scarlet fever
- Smallpox
- Varicella (Chickenpox)
Evaluation
- Clinical diagnosis, based on history and physical exam
Management
- Supportive care
Disposition
- Discharge
Complications
- Seizures
- Aseptic meningitis
- Encephalitis
- Thrombocytopenic purpura