Infectious exanthem (252/1700)

A 3yo child has a high temp for 4 days and he had not seen a doctor. Then mother notices rashes
on buccal mucosa and some around the mouth. What is the most appropriate dx?

a. Measles
b. Roseola infectiosum
c. Rubella
d. Chicken pox
e. Impetigo

























 answer: bad recall

measles: rash starts behind the ears, white spots on mucosa before rash......
rubella: low grade fever
erythema infectiousum: 5th disease rash is 10-17 days after symptoms, immune mediated! pro-droma, symptom-free, slapped cheeck 
roseola infantum:  oral involvement is on uvula, soft palate
chicken pox: generalized pattern, no buccal involvement


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