develops rapidly, often beginning on the chest, trunk, or scalp and then spreading to the arms and legs (centrifugally) (FIGURE 1).
5), (7) As the name implies, the rash resembles a viral exanthem
and this, as well as other inflammatory conditions with a similar presentation, should be excluded.
It's self-limited, but children do tend to appear more toxic with AGEP than with some of the other exanthems
, especially if they are young.
Reeves, chief of the Viral Exanthems
and Herpesvirus Branch of the Centers for Disease Control and Prevention (CDC) and head of its chronic fatigue syndrome (CFS) public health research program, said that agencies like the CDC are carrying out many of the recommendations "without top-down [orders].
A presenting feature which distinguishes the rash of smallpox from other viral exanthems
is the appearance of lesions on the soles and palms (CDC, 2001).
The common exanthems
were numbered in the early 1900s and include in numerical order: rubeola, scarlet fever, Filatov-Dukes disease (now considered to be several viral diseases rather than a single entity), rubella, erythema infectiosum (fifth disease), and roseola (sometimes called exanthem
subitum or sixth disease) (Adams & Ware, 1996).
Div of Applied Public Health Training (proposed), Epidemiology Program Office; Special Pathogens Br, and Poxvirus Section, Viral Exanthems
and Herpesvirus Br, Div of Viral and Rickettsial Diseases, National Center for Infectious Diseases, CDC.
1] It's caused by the parvovirus B19 pathogen and is the fifth disease in the group of six childhood exanthems
Malaria is not associated with a rash like those seen in meningococcal septicemia, typhus, enteric fever, viral exanthems
, and drug reactions.
This exfoliation is the same as seen in other types of viral exanthems
While most exanthems
are self-limiting, some are not, making it important to establish a specific diagnosis, according to Dr.
Features that suggest a viral origin include conjunctivitis, coryza, hoarseness, cough, diarrhea, exanthems
, or enanthems.
Atypical varicella exanthems
have been associated with childhood cutaneous injuries such as antecedent wasp stings, and classic dermatomal zoster has been reported in adults after spinal surgery and even after trivial external musculoskeletal trauma.
Acrodynia may be misdiagnosed as measles, other viral exanthems
, or Kawasaki disease.
Women who work in child care, for example, should avoid direct contact with children who have parvovirus infection ("Fifth disease") or other viral exanthems