Pediatric rashes
DDX
- Measles (Rubeola)
- Rubella (German Measles)
- Erythema Infectiosum (Fifth disease)
- Roseola Infantum
- Varicella
- HSV
- Infectious Mononucleosis
- Henoch-Schonlein Purpura
- Drug Rash
Scarlet Fever
- Caused by GAS
- Prodrome of fever, sore throat, vomiting, abd pain followed by rash 1-2d later
- Rash
- Enanthem
- Tonsils/pharynx are red and covered w/ exudate
- Tongue may have initial exudate followed by erythema ("strawberry tongue)
- Soft palate have bright-red spots
- Exanthem
- Starts on neck, axillae, groin, spreads to trunk and extremities
- Red, finely punctate, sandpaper feel
- Desquamation follows
- Enanthem
- Treatment (to reduce rheumatic fever / nephritis)
- Penicillin VK 50mg/kg BID x 10d OR amoxicillin 40mg/kg/d in 2 divided doses x10d
- If pen allergic: Azithromycin 10mg/kg on day 1, 5mg/g days 2-5
Enteroviral Infections
See Also
Source
Tintinalli