Maculopapular Skin Disease
The rash in measles occurs first in the………………region: (LQ)
1). Measles or rubeola is an acute highly infectious disease of children caused by a specific RNA paramyxovirus.
2). Incubation period is commonly 10 days from exposure to onset of fever and 14 days from exposure to appearance of rash.
3). Prodromal stage begins 10 days after the exposure and lasts until 14th day.
4). It is characterized by fever, sneezing, and nasal discharge, and cough, redness of eyes, lacrimation and photophobia.
5). A day or two before appearance of rash, Koplik's spots appear in the buccal mucosa opposite the first and second upper molar.
6). These are pathognomic of measles.
7). Eruptive phase is characterized by a typical red macular and maculopapular rash which starts from behind the ears and spreads rapidly in a few hours to the face and neck.
8). Thereafter it extends down the body and reaches lower extremities in 3 days.
9). It may remain discrete but it often becomes confluent.