Word Sasbel 3.docx

Disease

Clinical Name

Etiology

Clinical Manifest

1st

Rubeola, Measles, Hard measles, Morbilli

Measles virus

More severe than rubella 14-day measles fever appear 3 to 4 days before the exanthem Hari ke 4-5 : face and behind the ears. In 24 to 36 hours, it spreads to the trunk and extremities Meler dan Konjungtivis (lakrimasi) Brassycough sound Koplik’s Spot blue-white spots with a red halo) appear on the buccal mucous membrane

2nd

Scarlet Fever

Streptococcus pyogenes

Rash (Rough sandpaper rash) begin on the neck and groin and then spreads to the rest of the body lasts five to six days and the skin may peel.

circumoral pallor pale area around his mouth

Pastia's line/sign hyperpigmented areas on the skin crease (lipatan).

strawberry tongue putih lalu merah (setelah 4-5 hari)

3rd

Rubella, German Rubella virus measles,

3-day measles The Rash (discrete macules/red spots) begins

on the face that spread to the neck, trunk, and extremities (lasts for 1-3 day) Ends up with desquamation.

Forscheimer's spots: pinpoint red macules and petechiae can be seen over the soft palate and uvula.

Generalized tender lymphadenopathy around neck and head 4th

Filatow-Dukes' Disease, Staphylococcal Scalded Skin Syndrome, Ritter's disease

Some say the disease does not exist1. Others believe it is due toStaphylococcus aureus strains that make epidermolytic (exfoliative) toxin

5th

Erythema infectiosum

Erythrovirus (Parvovirus) B19

Pruritus, low-grade fever, malaise, and sore throat precede the rash Lymphadenopathy (-) Facial erythema ("slapped cheek") red papules on the cheeks that rapidly coalesce in hours, forming red, slightly edematous, warm, plaques that are symmetric on both cheeks but do not cover the nasolabial fold and the circumoral region. Rash pattern : facial >> extremity >> trunks

Pigmentation or scaling (kerak) (-)

sunlight may stimulate recurrences.

6th

Exanthem subitum, Roseola infantum

HHV 6B or HHV 7

3-day fever with sudden onset of high fever

slight anorexia or one or two episodes of vomiting, running nose, cough, and hepatomegaly. Seizure/general cerebral irritability mau happen before eruptive phase.

The rash begins as the fever goes away. Sudden Rash (rose rash of infant) on the trunk and neck.

Exant : banyak sekali; Subitum: tiba tiba Scaling or pigmentation (-)