Measles (Rubeola) |
- Fever, cough, coryza, and conjunctivitis
- Maculopapular rash starting on the face and spreading downwards
- Koplik spots (small white spots) inside the mouth
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- Clinical diagnosis based on symptoms
- Measles IgM antibodies or PCR for confirmation
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- Supportive care (hydration, antipyretics)
- Vitamin A supplementation in some cases
- Isolation to prevent spread
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Chickenpox (Varicella) |
- Fever, malaise, and itchy vesicular rash
- Rash progresses from macules to papules to vesicles, then crusting
- Lesions appear in crops, often more on the trunk than extremities
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- Clinical diagnosis
- Varicella zoster virus PCR or serology if uncertain
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- Supportive care (calamine lotion, antihistamines for itching)
- Acyclovir in high-risk or severe cases
- Isolation until lesions crust over
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Hand, Foot, and Mouth Disease |
- Fever and painful sores in the mouth
- Vesicular rash on the hands, feet, and sometimes buttocks
- Common in children under 5 years
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- Clinical diagnosis
- Viral culture or PCR from skin or oral lesions in uncertain cases
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- Supportive care (hydration, pain relief)
- Monitor for dehydration due to painful mouth sores
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Scarlet Fever |
- Fever, sore throat, and sandpaper-like rash
- Rash begins on the trunk and spreads to the extremities
- Strawberry tongue and circumoral pallor
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- Rapid strep test or throat culture for Group A Streptococcus
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- Penicillin or amoxicillin
- Symptomatic treatment for fever and throat pain
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Kawasaki Disease |
- Fever for at least 5 days
- Rash, red eyes, strawberry tongue, and cracked lips
- Swelling and redness of the hands and feet
- Cervical lymphadenopathy
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- Clinical diagnosis based on symptoms
- Echocardiogram to assess coronary arteries
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- Intravenous immunoglobulin (IVIG) and aspirin
- Close monitoring for coronary artery aneurysms
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Erythema Infectiosum (Fifth Disease) |
- Mild fever and "slapped cheek" rash on the face
- Lacy, reticular rash on the body, especially the arms and legs
- Caused by parvovirus B19
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- Clinical diagnosis
- Parvovirus B19 IgM antibodies or PCR in certain cases
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- Supportive care (hydration, antipyretics)
- Avoid contact with pregnant women (risk of fetal hydrops)
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Allergic Urticaria |
- Raised, red, itchy welts (hives) that may move around the body
- Usually caused by an allergic reaction (e.g., food, medications)
- May be associated with angioedema
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- Clinical diagnosis
- Allergy testing if the cause is uncertain
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- Antihistamines for itching
- Identify and avoid the trigger
- Severe cases may require corticosteroids
- Anaphylaxis needs epinephrine
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